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General NPI Number Information
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NPI Number | 1710342316
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Entity Type | Individual
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Provider Name | CAROL ELLEN WILLIAMS PHD LPA BCBA-D
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Gender | Female
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Dates
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Enumeration Date | 12/23/2015
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 421 FAYETTEVILLE ST STE 1100
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City | RALEIGH
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State | NC
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Zip | 27601-3000
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Country | US
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Telephone | 877-418-2978
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Fax | 866-500-2186
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Provider Business Mailing Address
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Address Line | 500 FAIRWAY DR STE 102
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-1817
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Country | US
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Telephone | 877-418-2978
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Fax | 866-500-2186
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4900
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License Number State | NC
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