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General NPI Number Information
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NPI Number | 1205256922
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Entity Type | Individual
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Provider Name | LATANIA SHERRELL WILLIAMS MCADOO LPC
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Gender | Female
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 08/26/2019
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Provider Practice Location Address
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Address Line | 8401 MEDICAL PLAZA DR STE 360
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City | CHARLOTTE
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State | NC
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Zip | 28262-8700
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Country | US
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Telephone | 704-247-7638
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Fax |
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Provider Business Mailing Address
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Address Line | 7819 ROLLING STONE AVE
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City | CHARLOTTE
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State | NC
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Zip | 28216-2087
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Country | US
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Telephone | 704-649-9068
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 997
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A9887
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License Number State | NC
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