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General NPI Number Information
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NPI Number | 1356086029
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Entity Type | Individual
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Provider Name | COURTNEY WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 04/28/2022
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 1368 E 112TH ST
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City | CLEVELAND
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State | OH
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Zip | 44106-1320
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Country | US
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Telephone | 216-526-2901
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Fax |
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Provider Business Mailing Address
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Address Line | 1368 E 112TH ST
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City | CLEVELAND
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State | OH
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Zip | 44106-1320
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Country | US
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Telephone | 216-526-2901
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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 | S.1501214
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | I.2506621
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License Number State | OH
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