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General NPI Number Information
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NPI Number | 1760634299
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Entity Type | Individual
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Provider Name | WAYMAN A WILLIAMS LPC
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Gender | Male
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Dates
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Enumeration Date | 10/15/2008
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Last Update Date | 04/16/2009
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Provider Practice Location Address
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Address Line | 3119-A LEAR DRIVE
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City | BURLINGTON
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State | NC
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Zip | 27215-8817
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Country | US
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Telephone | 336-229-5905
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Fax | 336-229-5906
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Provider Business Mailing Address
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Address Line | 3210 FAIRHILL DR
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City | RALEIGH
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State | NC
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Zip | 27612-3215
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Country | US
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Telephone | 919-256-0824
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Fax | 919-256-0833
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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 | 7170
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License Number State | NC
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