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General NPI Number Information
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NPI Number | 1265741904
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Entity Type | Organization
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Legal Business Name | A PLUS WILLIAMSON CARE NETWORK, LLC
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 12/16/2010
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Provider Practice Location Address
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Address Line | 415 N EDGEWORTH ST STE 209
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City | GREENSBORO
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State | NC
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Zip | 27401-2071
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Country | US
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Telephone | 336-558-3749
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Fax |
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Provider Business Mailing Address
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Address Line | 415 N EDGEWORTH ST STE 209
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City | GREENSBORO
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State | NC
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Zip | 27401-2071
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Country | US
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Telephone | 336-274-4140
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. MONACA MAYE WILLIAMSON
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Credential | BS QDDP
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Telephone | 336-558-3749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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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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