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General NPI Number Information
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NPI Number | 1417131798
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Entity Type | Individual
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Provider Name | EARLE HARRIS WILLIAMS II PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 12/22/2007
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 2012 CUNNINGHAM DR STE 101
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City | HAMPTON
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State | VA
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Zip | 23666-3448
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Country | US
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Telephone | 757-864-0613
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Fax | 757-623-4966
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Provider Business Mailing Address
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Address Line | 3214 NORWAY PL
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City | NORFOLK
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State | VA
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Zip | 23509-1224
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Country | US
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Telephone | 757-348-1529
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Fax | 757-623-4966
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810001748
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License Number State | VA
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