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General NPI Number Information
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NPI Number | 1447770060
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Entity Type | Individual
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Provider Name | CAITLIN GRACE WILLIAMS PSY.D., LCP
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Gender | Female
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Dates
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Enumeration Date | 06/24/2017
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Last Update Date | 06/24/2017
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Provider Practice Location Address
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Address Line | 641 W 63RD ST
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City | CHICAGO
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State | IL
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Zip | 60621-2032
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Country | US
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Telephone | 773-388-1600
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Fax | 773-783-8197
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Provider Business Mailing Address
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Address Line | 77 W HURON ST APT 1511
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City | CHICAGO
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State | IL
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Zip | 60654-5325
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Country | US
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Telephone | 608-658-1095
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.008859
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License Number State | IL
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