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General NPI Number Information
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NPI Number | 1417060708
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Entity Type | Individual
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Provider Name | ROBERT STANLEY WILLIAMS JR. ED.D.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 59 CODDINGTON ST SUITE 203
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City | QUINCY
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State | MA
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Zip | 02169-4510
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Country | US
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Telephone | 617-328-4348
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Fax |
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Provider Business Mailing Address
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Address Line | 217 N MAIN ST
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City | COHASSET
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State | MA
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Zip | 02025-1343
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Country | US
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Telephone | 781-383-6954
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Fax | 617-328-4341
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3105
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License Number State | MA
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