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General NPI Number Information
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NPI Number | 1326343633
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Entity Type | Individual
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Provider Name | BRIDGET M. WILLIAMS LP
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Gender | Female
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 19925 ENGLISH CT
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City | FARMINGTON
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State | MN
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Zip | 55024-8428
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Country | US
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Telephone | 773-558-2146
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Fax |
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Provider Business Mailing Address
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Address Line | 19925 ENGLISH CT
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City | FARMINGTON
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State | MN
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Zip | 55024-8428
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Country | US
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Telephone | 773-558-2146
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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 | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 06007
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 3579
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | LP6540
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6022
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 578
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License Number State | ND
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Taxonomy #6
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY004475
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License Number State | GA
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