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General NPI Number Information
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NPI Number | 1679364764
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Entity Type | Individual
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Provider Name | DRENNAN LEE WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1562 DAIRY RD
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-1304
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Country | US
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Telephone | 434-245-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 1547 SHADY FOREST WAY
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-9047
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Country | US
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Telephone | 803-230-6935
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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 | 0813001297
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License Number State | VA
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