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General NPI Number Information
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NPI Number | 1043379910
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Entity Type | Individual
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Provider Name | CAROLINE KAY WILLIAMSON OTR L
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Gender | Female
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2705 ENLOE ST
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City | HUDSON
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State | WI
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Zip | 54016-8173
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Country | US
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Telephone | 715-386-2128
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 RIVER RIDGE RD
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City | RIVER FALLS
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State | WI
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Zip | 54022-3459
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Country | US
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Telephone | 715-426-5212
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 4305
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License Number State | WI
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