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General NPI Number Information
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NPI Number | 1649568122
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Entity Type | Individual
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Provider Name | AISSA DINEEN WILLIAMS MSW
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Gender | Female
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Dates
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Enumeration Date | 07/18/2011
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Last Update Date | 07/18/2011
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Provider Practice Location Address
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Address Line | 93 EDWARDS ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-3933
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Country | US
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Telephone | 203-772-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 674 2ND AVE
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City | WEST HAVEN
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State | CT
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Zip | 06516-3701
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Country | US
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Telephone | 203-668-6976
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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