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General NPI Number Information
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NPI Number | 1417145756
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Entity Type | Individual
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Provider Name | CAROL ANN WILLIAMS LICENSED PROFESSIONA
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Gender | Female
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 11/06/2014
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Provider Practice Location Address
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Address Line | 1088 ROGERS RD
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City | CORDOVA
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State | TN
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Zip | 38018-8546
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Country | US
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Telephone | 901-485-5350
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Fax | 901-485-5350
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Provider Business Mailing Address
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Address Line | 1088 ROGERS ROAD TRANSFORMATION CENTER
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City | CORDOVA
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State | TN
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Zip | 38018
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Country | US
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Telephone | 901-485-5350
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC0000001665
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License Number State | TN
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