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General NPI Number Information
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NPI Number | 1508725128
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Entity Type | Individual
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Provider Name | CANDICE WILLIAMS LPN
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Gender | Female
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 6401 DOGWOOD RD STE 201
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City | BALTIMORE
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State | MD
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Zip | 21207-5295
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Country | US
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Telephone | 410-653-0021
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Fax | 410-653-0070
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Provider Business Mailing Address
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Address Line | 6401 DOGWOOD RD STE 201
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City | BALTIMORE
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State | MD
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Zip | 21207-5295
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Country | US
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Telephone | 410-653-0021
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Fax | 410-653-0070
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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 | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | LP55583
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License Number State | MD
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