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General NPI Number Information
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NPI Number | 1841528965
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Entity Type | Individual
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Provider Name | LA BARBARA MARIA WILLIAMS LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/01/2009
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 100 EMANCIPATION DR BLDG. 138
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City | HAMPTON
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State | VA
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Zip | 23667-0001
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Country | US
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Telephone | 757-722-9961
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Fax | 757-315-3928
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Provider Business Mailing Address
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Address Line | 733 SPRUCE ST
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City | HAMPTON
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State | VA
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Zip | 23661-1740
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Country | US
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Telephone | 757-722-9961
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Fax | 757-315-3928
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LSW0000007853
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License Number State | TN
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