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General NPI Number Information
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NPI Number | 1194995472
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Entity Type | Individual
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Provider Name | SHIRLEY ANN WILLIAMS MA, LCAS, CSI
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Gender | Female
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 3750 MEADOWVIEW ROAD APT A-1
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City | LUMBERTON
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State | NC
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Zip | 28358
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Country | US
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Telephone | 910-618-9912
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Fax | 910-618-0728
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Provider Business Mailing Address
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Address Line | 3750 MEADOWVIEW ROAD APT A-1
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City | LUMBERTON
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State | NC
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Zip | 28358
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Country | US
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Telephone | 910-618-9912
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Fax | 910-618-0728
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1241
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License Number State | NC
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