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General NPI Number Information
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NPI Number | 1043777543
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Entity Type | Individual
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Provider Name | CAITLIN CHEWNING WILLIAMS LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/21/2019
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Last Update Date | 02/21/2019
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Provider Practice Location Address
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Address Line | 6439 GARNERS FERRY RD
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City | COLUMBIA
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State | SC
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Zip | 29209-1638
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Country | US
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Telephone | 803-776-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 517 S WALKER ST
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City | COLUMBIA
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State | SC
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Zip | 29205-3960
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Country | US
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Telephone | 843-260-3003
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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 | 10557
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License Number State | SC
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