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General NPI Number Information
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NPI Number | 1689545451
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Entity Type | Individual
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Provider Name | TERRELL LAMAR WILLIAMS
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Gender | Male
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 15260 VENTURA BLVD STE 1140
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-5346
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Country | US
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Telephone | 661-947-9554
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Fax | 310-948-9573
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Provider Business Mailing Address
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Address Line | 15260 VENTURA BLVD STE 1140
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-5346
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Country | US
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Telephone | 661-947-9554
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Fax | 310-948-9573
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | W1604034
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License Number State | CA
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