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General NPI Number Information
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NPI Number | 1124443429
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Entity Type | Individual
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Provider Name | STEPHANIE NICOLE WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 02/23/2014
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 2700 E 55TH PL STE 8
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-3545
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Country | US
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Telephone | 317-543-9347
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 740017
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City | ATLANTA
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State | GA
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Zip | 30374-0017
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW00001284
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34007671A
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License Number State | IN
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