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General NPI Number Information
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NPI Number | 1194429605
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Entity Type | Individual
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Provider Name | KAREN LYNN WILLIAMS MS, ED.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 703 PORTER AVE APT 410
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City | MARTINSBURG
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State | WV
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Zip | 25401-1822
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Country | US
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Telephone | 202-792-4107
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Fax |
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Provider Business Mailing Address
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Address Line | 110 MAIN ST
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City | BECKLEY
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State | WV
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Zip | 25801-4611
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Country | US
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Telephone | 202-792-4107
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State | WV
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