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General NPI Number Information
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NPI Number | 1689705287
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Entity Type | Individual
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Provider Name | DAVID CRAIG WILLIAMS D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 3660 GUION RD STE 101
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City | INDIANAPOLIS
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State | IN
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Zip | 46222-1616
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Country | US
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Telephone | 317-920-7139
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Fax | 317-920-7229
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Provider Business Mailing Address
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Address Line | 6626 E 75TH ST STE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2805
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 02000773A
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License Number State | IN
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