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General NPI Number Information
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NPI Number | 1760561229
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Entity Type | Organization
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Legal Business Name | PIEDMONT PSYCHOLOGICAL & COUNSELING ASSOCIATES, LLC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 1665 HERLONG COURT SUITE B
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City | ROCK HILL
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State | SC
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Zip | 29732-1193
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Country | US
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Telephone | 803-328-0030
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Fax | 803-328-0030
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Provider Business Mailing Address
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Address Line | PO BOX 37567
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City | ROCK HILL
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State | SC
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Zip | 29732-0526
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Country | US
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Telephone | 803-328-0030
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Fax | 803-980-7276
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM H. WELLS.
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Credential | PH.D.
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Telephone | 803-328-0030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 235
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License Number State | SC
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