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General NPI Number Information
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NPI Number | 1801286463
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Entity Type | Organization
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Legal Business Name | NOEL R WILLIAMS MD PC
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 1705 RENAISSANCE BLVD SUITE 120
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City | EDMOND
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State | OK
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Zip | 73013-3041
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Country | US
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Telephone | 405-715-4496
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Fax | 405-715-4499
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Provider Business Mailing Address
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Address Line | 1705 RENAISSANCE BLVD SUITE 120
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City | EDMOND
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State | OK
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Zip | 73013-3041
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Country | US
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Telephone | 405-715-4496
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Fax | 405-715-4499
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Authorized Official
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Title or Position | PRESIDENT
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Name | NOEL R WILIAMS
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Credential | MD
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Telephone | 405-715-4496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 17885
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License Number State | OK
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