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General NPI Number Information
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NPI Number | 1760700629
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Entity Type | Individual
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Provider Name | KIMBERLY MAXWELL WILLIAMS LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 05/17/2010
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Provider Practice Location Address
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Address Line | 737 S LEWIS ST
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City | METTER
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State | GA
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Zip | 30439-5128
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Country | US
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Telephone | 912-685-3317
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Fax | 912-685-3382
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Provider Business Mailing Address
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Address Line | PO BOX 745
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City | STATESBORO
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State | GA
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Zip | 30459-0745
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Country | US
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Telephone | 912-685-3317
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Fax | 912-685-3822
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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 | MSW003642
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License Number State | GA
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