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General NPI Number Information
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NPI Number | 1487109179
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Entity Type | Individual
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Provider Name | STACEY MCHENRY WILLIAMSON
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Gender | Female
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 7019 HARPS MILL RD STE 100
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City | RALEIGH
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State | NC
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Zip | 27615-3248
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Country | US
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Telephone | 199-844-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 2115 FOREST HILLS RD W SUITE B
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City | WILSON
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State | NC
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Zip | 27893-3483
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Country | US
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Telephone | 252-903-9348
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 1453
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License Number State | NC
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