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General NPI Number Information
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NPI Number | 1730797283
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Entity Type | Individual
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Provider Name | SHEILA WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 5601 LOCH RAVEN BLVD STE 105
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City | BALTIMORE
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State | MD
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Zip | 21239-2945
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Country | US
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Telephone | 443-829-1849
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Fax |
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Provider Business Mailing Address
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Address Line | 6810 FOX MEADOW RD
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City | GWYNN OAK
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State | MD
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Zip | 21207-5627
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Country | US
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Telephone | 443-829-1849
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LCA433
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License Number State | MD
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