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General NPI Number Information
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NPI Number | 1598307639
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Entity Type | Individual
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Provider Name | SHARI LYNNETTE WILLIAMS LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 3143 MAGIC HOLLOW BLVD STE 200
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-3077
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Country | US
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Telephone | 757-385-4271
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Fax |
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Provider Business Mailing Address
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Address Line | 1322 SAGAMORE CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-8675
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Country | US
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Telephone | 757-450-5022
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904011274
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License Number State | VA
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