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General NPI Number Information
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NPI Number | 1184100653
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Entity Type | Individual
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Provider Name | SAMANTHA J WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 9305 MONROE RD
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City | CHARLOTTE
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State | NC
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Zip | 28270-1488
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Country | US
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Telephone | 919-230-7790
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Fax |
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Provider Business Mailing Address
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Address Line | 518 RIVER ROCK CT
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City | CHARLOTTE
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State | NC
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Zip | 28214-1084
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Country | US
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Telephone | 919-368-1887
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | NC
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