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General NPI Number Information
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NPI Number | 1184873309
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Entity Type | Organization
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Legal Business Name | FRANKLIN WILLIAMSON HUMAN SERVICES
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 902 W MAIN ST
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City | WEST FRANKFORT
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State | IL
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Zip | 62896
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Country | US
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Telephone | 618-937-6483
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Fax | 618-937-2903
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Provider Business Mailing Address
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Address Line | 902 W MAIN ST
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City | WEST FRANKFORT
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State | IL
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Zip | 62896
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Country | US
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Telephone | 618-937-6483
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Fax | 618-937-2903
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Authorized Official
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Title or Position | DT
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Name | MRS. EDNA K MCDOWELL
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Credential | DT DEVELOPMENTAL THE
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Telephone | 618-937-6483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | EM60640198P
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License Number State | IL
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