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General NPI Number Information
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NPI Number | 1962891929
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Entity Type | Organization
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Legal Business Name | BAKER MCWILLIAMS REALTY INC.
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 3918 DICKERSON PIKE STE. 108
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City | NASHVILLE
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State | TN
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Zip | 37207-1328
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Country | US
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Telephone | 615-414-2997
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Fax |
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Provider Business Mailing Address
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Address Line | 844 CURTIS DR
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City | NASHVILLE
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State | TN
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Zip | 37207-1302
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Country | US
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Telephone | 615-414-2997
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | MRS. YOLANDA BAKER MCWILLIAMS
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Credential | LPC, MHSP
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Telephone | 615-414-2997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2839
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 2839
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 102X00000X
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Taxonomy Name | Poetry Therapist
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License Number | 2839
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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License Number | 2839
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2839
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2839
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License Number State | TN
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