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General NPI Number Information
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NPI Number | 1962540963
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Entity Type | Individual
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Provider Name | SAMUEL K. WILLIAMS L.C.S.W.-L.C.A.S.
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Gender | Male
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 09/21/2007
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Provider Practice Location Address
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Address Line | 6900 GEORGIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20307-0003
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Country | US
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Telephone | 202-782-8009
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Fax | 202-782-7589
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Provider Business Mailing Address
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Address Line | 6900 GEORGIA AVE. NW
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City | WASHINGTON
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State | DC
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Zip | 20307-5001
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Country | US
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Telephone | 202-782-8009
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Fax | 202-782-7589
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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 | C005165
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License Number State | NC
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