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General NPI Number Information
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NPI Number | 1710965728
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Entity Type | Organization
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Legal Business Name | WILLIAMS PSYCHOLOGICAL CORP
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 18 FOREST CT
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City | KNOXVILLE
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State | TN
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Zip | 37919-5001
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Country | US
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Telephone | 865-909-0929
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Fax | 865-909-0926
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Provider Business Mailing Address
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Address Line | 18 FOREST CT
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City | KNOXVILLE
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State | TN
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Zip | 37919-5001
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Country | US
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Telephone | 865-909-0929
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Fax | 865-909-0926
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSHUA WILLIAMS
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Credential | PHD
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Telephone | 865-909-0929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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