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General NPI Number Information
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NPI Number | 1922334879
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Entity Type | Organization
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Legal Business Name | DR. GARY L. WILLIAMS OPTOMETRIST
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Dates
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Enumeration Date | 10/28/2009
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Last Update Date | 05/19/2010
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Provider Practice Location Address
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Address Line | 1124 KEMPER MEADOW DR
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City | CINCINNATI
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State | OH
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Zip | 45240-4117
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Country | US
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Telephone | 513-851-2414
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Fax | 513-851-6159
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Provider Business Mailing Address
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Address Line | 1124 KEMPER MEADOW DR
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City | CINCINNATI
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State | OH
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Zip | 45240-4117
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Country | US
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Telephone | 513-851-2414
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Fax | 513-851-6159
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TERI AUNKST
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Credential |
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Telephone | 513-851-2414
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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 |
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License Number State |
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