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General NPI Number Information
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NPI Number | 1023497039
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Entity Type | Individual
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Provider Name | VICKI WILLIAMSON
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Gender | Female
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 05/22/2015
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Provider Practice Location Address
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Address Line | 3737 UPPER BELLBROOK RD
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City | BELLBROOK
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State | OH
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Zip | 45305-8750
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Country | US
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Telephone | 937-848-3737
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Fax | 937-848-5016
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Provider Business Mailing Address
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Address Line | 626 N KING ST
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City | XENIA
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State | OH
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Zip | 45385-2212
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Country | US
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Telephone | 937-271-3525
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Fax | 937-848-5016
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1002092
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License Number State | OH
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