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General NPI Number Information
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NPI Number | 1639391253
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Entity Type | Organization
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Legal Business Name | R. SCOTT WILLIAMS, D.D.S., P.S.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 201 EUCLID STREET
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City | GRANDVIEW
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State | WA
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Zip | 98930
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Country | US
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Telephone | 509-882-3151
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Fax | 509-882-2603
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Provider Business Mailing Address
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Address Line | 201 EUCLID STREET
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City | GRANDVIEW
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State | WA
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Zip | 98930
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Country | US
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Telephone | 509-882-3151
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Fax | 509-882-2603
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. R. SCOTT WILLIAMS
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Credential | D.D.S.
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Telephone | 509-882-3151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5973
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License Number State | WA
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