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General NPI Number Information
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NPI Number | 1851800122
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Entity Type | Individual
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Provider Name | STANLEY REED WILLIAMS LCAS-A
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Gender | Male
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Dates
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Enumeration Date | 09/29/2017
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 4442 LOW OAK CT
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City | PARKTON
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State | NC
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Zip | 28371-4200
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Country | US
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Telephone | 910-217-0113
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Fax |
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Provider Business Mailing Address
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Address Line | 3516 CROSSWINDS DR
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City | HOPE MILLS
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State | NC
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Zip | 28348-1683
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Country | US
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Telephone | 910-217-0113
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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 | 13925
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 13925
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License Number State | NC
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