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General NPI Number Information
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NPI Number | 1043024797
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Entity Type | Individual
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Provider Name | SHELBY LYN WILLIAMSON PLMSW
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 2012 HIGHWAY 62 412
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City | HIGHLAND
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State | AR
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Zip | 72542-9477
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Country | US
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Telephone | 870-856-3337
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Fax | 870-856-3334
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Provider Business Mailing Address
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Address Line | 17 ORVAL LN
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-9401
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Country | US
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Telephone | 254-964-4338
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | PLMSW
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License Number State | AR
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