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General NPI Number Information
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NPI Number | 1801268362
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Entity Type | Individual
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Provider Name | ETHEL M. WILLIAMS LPC
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Gender | Female
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Dates
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Enumeration Date | 10/23/2015
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Last Update Date | 10/23/2015
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Provider Practice Location Address
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Address Line | 2000 E. LAMAR SUITE 621
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City | ARLINGTON
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State | TX
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Zip | 76006
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Country | US
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Telephone | 443-698-8767
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Fax |
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Provider Business Mailing Address
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Address Line | 6511 LIGHTHOUSE WAY
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City | DALLAS
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State | TX
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Zip | 75249-2824
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Country | US
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Telephone | 972-572-1076
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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 | 61500
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License Number State | TX
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