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General NPI Number Information
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NPI Number | 1538524095
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Entity Type | Individual
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Provider Name | KRISTIN LOUISE CREAMER-WILLIAMSON LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/28/2015
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Last Update Date | 12/28/2015
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Provider Practice Location Address
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Address Line | 1380 ROANOKE AVE 2ND FLOOR
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City | RIVERHEAD
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State | NY
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Zip | 11901-2098
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Country | US
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Telephone | 631-369-4418
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Fax |
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Provider Business Mailing Address
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Address Line | 87 PINE EDGE DR
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City | EAST MORICHES
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State | NY
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Zip | 11940-1557
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Country | US
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Telephone | 631-909-3212
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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 | 095864-1
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License Number State | NY
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