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General NPI Number Information
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NPI Number | 1710969969
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Entity Type | Individual
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Provider Name | MARION K WILLIAMS OPTOMETRIST
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Gender | Male
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 301 E MAIN ST
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City | WILLIAMSTON
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State | SC
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Zip | 29697-1912
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Country | US
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Telephone | 864-847-4440
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 896189
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City | CHARLOTTE
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State | NC
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Zip | 28289-6189
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Country | US
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Telephone | 864-654-6706
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 900
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License Number State | SC
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