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General NPI Number Information
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NPI Number | 1194215798
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Entity Type | Individual
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Provider Name | ANNALILY B WILLIAMS PMHNP
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Gender | Female
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Dates
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Enumeration Date | 05/18/2018
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 403 STONY LANDING RD
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City | MONCKS CORNER
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State | SC
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Zip | 29461-3967
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Country | US
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Telephone | 843-761-8282
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Fax | 843-761-7308
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Provider Business Mailing Address
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Address Line | 3445 INGLESIDE BLVD
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City | LADSON
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State | SC
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Zip | 29456-4142
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Country | US
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Telephone | 843-782-2000
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Fax | 843-790-1778
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 243812
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26380
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License Number State | SC
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