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General NPI Number Information
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NPI Number | 1619499613
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Entity Type | Individual
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Provider Name | MS. ERIN ELLEN WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 07/11/2017
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Last Update Date | 07/11/2019
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Provider Practice Location Address
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Address Line | 295 ELM ST STE 5
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City | BIRMINGHAM
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State | MI
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Zip | 48009-6344
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Country | US
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Telephone | 248-385-3447
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Fax |
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Provider Business Mailing Address
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Address Line | 27484 SLOAN ST
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City | NOVI
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State | MI
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Zip | 48374-1008
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Country | US
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Telephone | 246-632-6763
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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 | 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 #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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