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General NPI Number Information
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NPI Number | 1184552127
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Entity Type | Individual
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Provider Name | REYNALD CHARLES WILLIAMS
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Gender | Male
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 2820 W CHARLESTON BLVD # D41
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City | LAS VEGAS
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State | NV
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Zip | 89102-1942
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Country | US
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Telephone | 702-742-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 5212 YELLOW DAWN CT
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City | LAS VEGAS
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State | NV
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Zip | 89130-1590
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Country | US
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Telephone | 702-371-4541
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CI5717
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License Number State | NV
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