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General NPI Number Information
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NPI Number | 1275907537
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Entity Type | Individual
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Provider Name | CAMILLE VERGINA WILLIAMS I R.N
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Gender | Female
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 167 STERLING ST
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City | BROOKLYN
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State | NY
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Zip | 11225-3416
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Country | US
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Telephone | 914-888-4693
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Fax |
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Provider Business Mailing Address
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Address Line | 167 STERLING ST
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City | BROOKLYN
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State | NY
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Zip | 11225-3416
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Country | US
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Telephone | 914-888-4693
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 708560-1
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License Number State | NY
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