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General NPI Number Information
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NPI Number | 1023489234
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Entity Type | Individual
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Provider Name | DEREK FRANKLIN WILLIAMS MS
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Gender | Male
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 801 DOUGLAS AVE SUITE 208
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-5206
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Country | US
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Telephone | 407-830-6412
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 592456
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City | ORLANDO
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State | FL
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Zip | 32859-2456
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Country | US
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Telephone | 720-427-8768
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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