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General NPI Number Information
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NPI Number | 1205265410
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Entity Type | Organization
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Legal Business Name | DANIEL J WILLIAMS, PSYD, LLC
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 108 WEST SUMMIT HILL DR.
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City | KNOXVILLE
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State | TN
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Zip | 37902
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Country | US
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Telephone | 865-525-1099
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Fax | 865-525-7494
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Provider Business Mailing Address
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Address Line | 108 WEST SUMMIT HILL DR.
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City | KNOXVILLE
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State | TN
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Zip | 37902
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Country | US
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Telephone | 865-525-1099
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Fax | 865-525-7494
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL JACOB WILLIAMS
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Credential | PSYD
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Telephone | 865-525-1099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 8856
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2951
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License Number State | TN
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