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NPI 1699417477

NPI 1699417477 : DANA CATHEY-WILLIAMS PAY.D : CHARLOTTE, NC

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General NPI Number Information
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    NPI Number           |    1699417477
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    Entity Type          |    Individual 
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    Provider Name        |    DANA CATHEY-WILLIAMS PAY.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/11/2022
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    Last Update Date     |    04/11/2022
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Provider Practice Location Address
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    Address Line         |    1406 BEATTIES FORD RD 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28216-4550
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    Country              |    US
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    Telephone            |    678-849-4651
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6801 TUCKASEEGEE RD 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28214-2733
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    Country              |    US
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    Telephone            |    678-849-4651
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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        |    101YP1600X
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    Taxonomy Name        |    Pastoral Counselor
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    License Number       |    555538
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    License Number State |    LA
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