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General NPI Number Information
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NPI Number | 1982666954
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Entity Type | Organization
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Legal Business Name | DAVID L. WILLIAMS, M.D., P.A.
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 400 NW BROAD ST
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-4804
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Country | US
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Telephone | 910-692-2061
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Fax |
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Provider Business Mailing Address
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Address Line | 400 NW BROAD ST
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-4804
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Country | US
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Telephone | 910-692-2061
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID L WILLIAMS
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Credential | M.D.
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Telephone | 910-692-2061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 40122
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License Number State | NC
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