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General NPI Number Information
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NPI Number | 1760975940
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Entity Type | Individual
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Provider Name | DAVI WILLIAMS DMD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 1405 E ELMS RD
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City | KILLEEN
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State | TX
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Zip | 76542-2810
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Country | US
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Telephone | 208-270-4121
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Fax |
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Provider Business Mailing Address
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Address Line | 505 COWHAND DR
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City | HARKER HEIGHTS
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State | TX
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Zip | 76548-2438
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Country | US
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Telephone | 253-722-6769
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 34193
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License Number State | TX
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