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General NPI Number Information
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NPI Number | 1285859181
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Entity Type | Individual
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Provider Name | RANDI LAUREN WILLIAMS-ZIMMERMAN L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 135 WOODBURY RD
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City | HICKSVILLE
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State | NY
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Zip | 11801-3031
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Country | US
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Telephone | 516-692-4455
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Fax | 516-869-5226
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Provider Business Mailing Address
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Address Line | 420 TOFTREE CT
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City | ROSLYN
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State | NY
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Zip | 11576-3081
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Country | US
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Telephone | 516-869-5306
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Fax | 516-869-5226
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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 | 074230
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License Number State | NY
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