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General NPI Number Information
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NPI Number | 1578631412
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Entity Type | Individual
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Provider Name | GWYNETH S. WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 8001 14TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20012-1207
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Country | US
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Telephone | 202-531-9617
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Fax |
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Provider Business Mailing Address
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Address Line | 8001 14TH ST. NW
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City | WASHINGTON
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State | DC
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Zip | 20012-1207
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Country | US
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Telephone | 202-531-9617
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12772
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC50077914
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License Number State | DC
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