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General NPI Number Information
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NPI Number | 1821091042
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Entity Type | Individual
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Provider Name | WILLIAM T NIMMONS OD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 01/23/2015
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Provider Practice Location Address
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Address Line | 807 BY PASS 123
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City | SENECA
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State | SC
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Zip | 29678-4759
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Country | US
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Telephone | 864-882-3338
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Fax | 864-885-0349
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Provider Business Mailing Address
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Address Line | PO BOX 249
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City | SENECA
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State | SC
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Zip | 29679-0249
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Country | US
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Telephone | 864-882-3338
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Fax | 864-885-0349
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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 | 669
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License Number State | SC
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