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General NPI Number Information
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NPI Number | 1356316814
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Entity Type | Organization
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Legal Business Name | CAROLINE B WILLIAMS PHD PC
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 112 ESCALERA CIR
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City | BOERNE
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State | TX
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Zip | 78006-2963
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Country | US
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Telephone | 830-347-4027
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Fax | 505-570-4560
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Provider Business Mailing Address
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Address Line | 112 ESCALERA CIR
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City | BOERNE
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State | TX
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Zip | 78006-2963
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Country | US
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Telephone | 830-347-4027
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Fax | 800-866-8791
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CAROLINE B WILLIAMS
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Credential | PH.D.
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Telephone | 505-819-0859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 911
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | 20
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License Number State | NM
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