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General NPI Number Information
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NPI Number | 1306012323
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Entity Type | Individual
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Provider Name | LAURA ANNE WILLIAMS LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 08/28/2008
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Provider Practice Location Address
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Address Line | 65-1229A OPELO RD. HANA HOU COTTAGES #3
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City | KAMEULA
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State | HI
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Zip | 96743
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Country | US
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Telephone | 808-895-0989
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6548
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City | KAMUELA
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State | HI
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Zip | 96743-6548
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Country | US
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Telephone | 808-895-0989
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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 | LCSW - 3050
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License Number State | HI
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