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General NPI Number Information
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NPI Number | 1699852673
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Entity Type | Individual
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Provider Name | RAYMOND E. WILLIAMS MSW
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 3950 DOUGLASTON PKWY COUSELING OFFICE
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City | DOUGLASTON
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State | NY
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Zip | 11363-1542
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Country | US
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Telephone | 718-279-0146
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Fax |
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Provider Business Mailing Address
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Address Line | 21440 51ST AVE
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-1232
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Country | US
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Telephone | 718-279-0146
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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 | RP020337-1
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License Number State | NY
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