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General NPI Number Information
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NPI Number | 1740197441
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Entity Type | Individual
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Provider Name | GERTIE WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | PO BOX 148
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City | WARRENTON
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State | NC
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Zip | 27589-0148
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Country | US
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Telephone | 252-820-9287
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Fax |
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Provider Business Mailing Address
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Address Line | 116 CARRIE DUNN RD
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City | NORLINA
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State | NC
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Zip | 27563-9104
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Country | US
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Telephone | 252-820-9287
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CADC-25815
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License Number State | NC
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