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General NPI Number Information
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NPI Number | 1336463173
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Entity Type | Individual
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Provider Name | WILLIAM ALVIS SIMS JR. L.C.S.W., M.S.W.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2010
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Last Update Date | 02/15/2011
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Provider Practice Location Address
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Address Line | 8029 CORPORATE CENTER DR SUITE 200
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City | CHARLOTTE
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State | NC
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Zip | 28226-4547
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Country | US
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Telephone | 704-336-2669
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Fax | 704-336-6547
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Provider Business Mailing Address
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Address Line | 1542 WICKFORD PL
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City | CHARLOTTE
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State | NC
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Zip | 28203-4465
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Country | US
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Telephone | 704-340-3788
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Fax | 704-543-7959
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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 | C000055
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C000055
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License Number State | NC
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