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General NPI Number Information
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NPI Number | 1861719890
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Entity Type | Organization
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Legal Business Name | WILLIAMS CHIROPRACTIC WELLNESS CENTER, INC.
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Dates
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Enumeration Date | 04/30/2010
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Last Update Date | 04/30/2010
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Provider Practice Location Address
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Address Line | 605 W DEWITT HENRY DR SUITE C
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City | BEEBE
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State | AR
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Zip | 72012-2211
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Country | US
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Telephone | 501-882-7565
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Fax | 501-882-7561
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Provider Business Mailing Address
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Address Line | PO BOX 818
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City | BEEBE
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State | AR
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Zip | 72012-0818
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Country | US
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Telephone | 501-882-7565
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Fax | 501-882-7561
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | DR. SABRINA A. WILLIAMS
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Credential | D.C.
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Telephone | 501-882-7565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1408
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License Number State | AR
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