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General NPI Number Information
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NPI Number | 1003701376
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Entity Type | Individual
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Provider Name | EMILY MARIE WILLIAMS MSW
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 930 S HARBOR CITY BLVD STE 100
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City | MELBOURNE
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State | FL
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Zip | 32901-1901
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Country | US
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Telephone | 573-380-2333
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 NONA ST NE
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City | PALM BAY
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State | FL
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Zip | 32907-2405
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Country | US
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Telephone | 901-871-5914
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 21991
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License Number State | FL
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