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General NPI Number Information
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NPI Number | 1215304134
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Entity Type | Individual
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Provider Name | MOIRA HELENA WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 6160 CORNERSTONE CT E
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City | SAN DIEGO
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State | CA
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Zip | 92121-3720
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Country | US
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Telephone | 858-216-8837
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Fax | 888-383-0040
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Provider Business Mailing Address
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Address Line | 6160 CORNERSTONE CT E
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City | SAN DIEGO
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State | CA
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Zip | 92121-3720
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Country | US
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Telephone | 858-216-8837
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Fax | 888-383-0040
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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 | LCSW123154
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License Number State | CA
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