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General NPI Number Information
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NPI Number | 1851409668
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Entity Type | Organization
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Legal Business Name | THOMAS O WILLIAMS & JAMES F TAYLOR DDS INC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 6800 N DIXIE DR
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City | DAYTON
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State | OH
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Zip | 45414-3249
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Country | US
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Telephone | 937-890-4820
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Fax | 937-890-4225
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Provider Business Mailing Address
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Address Line | 6800 N DIXIE DR
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City | DAYTON
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State | OH
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Zip | 45414-3249
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Country | US
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Telephone | 937-890-4820
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Fax | 937-890-4225
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Authorized Official
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Title or Position | COORDINATOR
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Name | STEPHANY S ELWORTH
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Credential |
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Telephone | 937-890-4820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14742
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14746
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License Number State | OH
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