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General NPI Number Information
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NPI Number | 1790016780
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Entity Type | Individual
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Provider Name | BETSY M. WILLIAMS M.ED.,CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 2601 REYNOLDA RD BRIGHTON GARDENS OF WINSTON-SALEM
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City | WINSTON-SALEM
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State | NC
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Zip | 27106
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Country | US
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Telephone | 336-722-2224
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Fax |
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Provider Business Mailing Address
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Address Line | 180 PASO ST P.O. BOX 340
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City | RURAL HALL
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State | NC
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Zip | 27045-9318
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Country | US
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Telephone | 336-969-2755
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 1192
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License Number State | NC
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