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General NPI Number Information
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NPI Number | 1396192407
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Entity Type | Individual
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Provider Name | DANIEL WILLIAMSON
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Gender | Male
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 1575 WASHINGTON ST
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City | WATERTOWN
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State | NY
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Zip | 13601-9371
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Country | US
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Telephone | 315-779-5060
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Fax |
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Provider Business Mailing Address
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Address Line | 213 LEE TER
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-2727
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Country | US
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Telephone | 210-776-2293
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 307727
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 307727
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License Number State | NY
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