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General NPI Number Information
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NPI Number | 1386243871
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Entity Type | Individual
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Provider Name | STACY WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 02/14/2026
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Provider Practice Location Address
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Address Line | 8450 NW 102ND AVE
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City | DORAL
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State | FL
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Zip | 33178-4750
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Country | US
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Telephone | 360-643-6562
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Fax |
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Provider Business Mailing Address
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Address Line | 3235 SATELLITE BLVD STE 300
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City | DULUTH
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State | GA
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Zip | 30096-8688
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Country | US
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Telephone | 678-235-4853
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Fax | 619-415-8449
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-RXN.0001379
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NO11881100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN61166084-NP
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | L8-0010602
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1071418
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN225736
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9501782
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G168450
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License Number State | IA
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 883500
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License Number State | NV
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Taxonomy #10
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11012260
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License Number State | FL
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Taxonomy #11
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 202104630NP-PP
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License Number State | OR
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Taxonomy #12
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 13815972-4405
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License Number State | UT
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