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General NPI Number Information
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NPI Number | 1174112221
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Entity Type | Individual
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Provider Name | WILLIAM HOLLINGSWORTH LPC
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Gender | Male
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 222 20TH ST NE APT 4
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City | WASHINGTON
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State | DC
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Zip | 20002-6712
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Country | US
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Telephone | 703-639-4075
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 BELLE VIEW BLVD # 3434
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City | ALEXANDRIA
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State | VA
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Zip | 22307-6530
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Country | US
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Telephone | 703-268-1538
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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 | 0701010203
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC200001198
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701010203
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License Number State | VA
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