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General NPI Number Information
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NPI Number | 1992680201
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Entity Type | Individual
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Provider Name | SHERRIE SHEVEETA WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 2249 VINSON HWY SE
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-4807
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Country | US
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Telephone | 478-455-6829
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Fax | 254-987-1520
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Provider Business Mailing Address
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Address Line | 171 COLLEGE ST
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City | GORDON
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State | GA
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Zip | 31031-3429
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Country | US
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Telephone | 254-987-1520
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA001664
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License Number State | GA
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