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General NPI Number Information
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NPI Number | 1275348732
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Entity Type | Individual
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Provider Name | ABIGAIL FLORA WILLIAMSON LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 3019 MONROE AVE STE 200R
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City | ROCHESTER
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State | NY
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Zip | 14618-4600
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Country | US
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Telephone | 585-572-7017
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Fax |
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Provider Business Mailing Address
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Address Line | 1407 MOUNTAIN LAUREL LN
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City | ONTARIO
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State | NY
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Zip | 14519-8635
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Country | US
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Telephone | 585-626-0361
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 119066-01
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License Number State | NY
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