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General NPI Number Information
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NPI Number | 1750467858
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Entity Type | Individual
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Provider Name | ELIZABETH SAXTON-WILLIAMS O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 01/30/2018
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Provider Practice Location Address
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Address Line | 4115 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60618-3131
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Country | US
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Telephone | 773-360-8671
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Fax |
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Provider Business Mailing Address
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Address Line | 1926 W IRVING PARK ROAD
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City | CHICAGO
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State | IL
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Zip | 60613
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Country | US
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Telephone | 773-525-0952
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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 | 046009866
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License Number State | IL
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