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General NPI Number Information
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NPI Number | 1194954321
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Entity Type | Individual
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Provider Name | CAROL WILLIAMS LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/09/2009
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Last Update Date | 03/09/2018
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Provider Practice Location Address
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Address Line | 1931 NW 150TH AVE SUITE 129
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2877
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Country | US
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Telephone | 786-371-5128
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Fax |
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Provider Business Mailing Address
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Address Line | 1931 NW 150TH AVE STE 109
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2873
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Country | US
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Telephone | 754-210-2153
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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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