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General NPI Number Information
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NPI Number | 1811213903
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Entity Type | Organization
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Legal Business Name | PHILLIP E. WILLIAMS, III, MD, PA
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Dates
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Enumeration Date | 04/14/2010
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Last Update Date | 04/14/2010
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Provider Practice Location Address
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Address Line | 8230 WALNUT HILL LANE SUITE 804
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City | DALLAS
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State | TX
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Zip | 75231-4482
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Country | US
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Telephone | 214-363-6217
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Fax | 214-373-4236
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Provider Business Mailing Address
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Address Line | 8230 WALNUT HILL LANE SUITE 804
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City | DALLAS
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State | TX
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Zip | 75231-4482
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Country | US
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Telephone | 214-363-6217
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Fax | 214-373-4236
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Authorized Official
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Title or Position | OWNER
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Name | DR. PHILLIP EARLE WILLIAMS III
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Credential | M.D.
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Telephone | 214-363-6217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MO311
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License Number State | TX
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