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General NPI Number Information
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NPI Number | 1720159262
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Entity Type | Organization
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Legal Business Name | ROBERT L WILLIAMSON III DDS2
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 10/22/2015
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Provider Practice Location Address
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Address Line | 119 N BOYLAN AVE B
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City | RALEIGH
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State | NC
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Zip | 27603-1422
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Country | US
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Telephone | 919-755-3748
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Fax | 919-828-4937
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Provider Business Mailing Address
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Address Line | 119-B N BOYLAN AVE
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City | RALEIGH
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State | NC
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Zip | 27603-1422
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Country | US
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Telephone | 919-755-3748
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Fax | 919-828-4937
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Authorized Official
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Title or Position | OPERATIONS DIRECTOR
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Name | MS. NANCY CAMPBELL
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Credential |
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Telephone | 919-755-3748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9144
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9316
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7038
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License Number State | NC
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