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General NPI Number Information
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NPI Number | 1013030832
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Entity Type | Organization
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Legal Business Name | DK. ELAINE WILLIAMS, P.C.
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Dates
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Enumeration Date | 04/08/2007
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 3615 CHAIN BRIDGE RD SUITE F
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City | FAIRFAX
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State | VA
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Zip | 22030-3237
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Country | US
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Telephone | 703-383-1386
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Fax |
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Provider Business Mailing Address
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Address Line | 3615 CHAIN BRIDGE RD SUITE F
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City | FAIRFAX
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State | VA
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Zip | 22030-3237
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Country | US
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Telephone | 703-383-1386
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KATHRYN ELAINE WILLIAMS
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Credential | PH.D.
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Telephone | 703-383-1386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0810002034
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License Number State | VA
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