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General NPI Number Information
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NPI Number | 1780183806
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Entity Type | Individual
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Provider Name | FATMATA WILLIAMS APRN
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Gender | Female
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Dates
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Enumeration Date | 02/04/2018
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 867 MAIN ST STE 3C-3
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City | MANCHESTER
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State | CT
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Zip | 06040-6034
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Country | US
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Telephone | 413-237-2536
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Fax | 959-223-2324
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Provider Business Mailing Address
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Address Line | 8 BEAR RIDGE DR
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City | BLOOMFIELD
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State | CT
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Zip | 06002-1108
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Country | US
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Telephone | 413-237-2536
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Fax | 959-223-2324
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 13018
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License Number State | CT
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