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General NPI Number Information
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NPI Number | 1811979289
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Entity Type | Individual
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Provider Name | AMY J WILLIAMS OD
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Gender | Female
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 1252 RALSTON AVE STE 400
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City | DEFIANCE
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State | OH
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Zip | 43512-1480
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Country | US
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Telephone | 419-782-6588
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Fax | 419-784-3622
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Provider Business Mailing Address
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Address Line | 333 N SUMMIT ST FL 7
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City | TOLEDO
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State | OH
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Zip | 43604-1531
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Country | US
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Telephone |
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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 | 4600T1343
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.004600
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License Number State | OH
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