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General NPI Number Information
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NPI Number | 1811229222
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Entity Type | Individual
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Provider Name | CAROL WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 02/10/2010
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 465 W 1600 N
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City | CEDAR CITY
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State | UT
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Zip | 84721-7743
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Country | US
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Telephone | 435-586-8336
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Fax | 435-865-6806
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Provider Business Mailing Address
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Address Line | PO BOX 21
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City | CEDAR CITY
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State | UT
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Zip | 84721-0021
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Country | US
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Telephone | 435-586-8336
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Fax | 435-865-6806
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 137570-3501
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License Number State | UT
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