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General NPI Number Information
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NPI Number | 1457947533
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Entity Type | Individual
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Provider Name | CAROLINE E WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 12/14/2020
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Last Update Date | 12/14/2020
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Provider Practice Location Address
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Address Line | 5485 W 10890 N # NA
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City | HIGHLAND
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State | UT
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Zip | 84003-9014
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Country | US
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Telephone | 817-456-5250
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Fax |
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Provider Business Mailing Address
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Address Line | 5485 W 10890 N # NA
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City | HIGHLAND
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State | UT
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Zip | 84003-9014
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Country | US
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Telephone | 817-456-5250
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 569326
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License Number State | UT
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