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General NPI Number Information
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NPI Number | 1730369687
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Entity Type | Organization
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Legal Business Name | D K WILLIAMS PSC
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 03/15/2012
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Provider Practice Location Address
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Address Line | 19 SOLOMON RD
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City | WHITESBURG
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State | KY
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Zip | 41858-7201
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Country | US
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Telephone | 606-633-4481
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Fax | 606-633-0207
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Provider Business Mailing Address
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Address Line | 19 SOLOMON RD
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City | WHITESBURG
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State | KY
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Zip | 41858-7201
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Country | US
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Telephone | 606-633-4481
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Fax | 606-633-0207
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DEBBIE K. WILLIAMS
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Credential | O.D.
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Telephone | 606-633-4481
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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 |
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License Number State | KY
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