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General NPI Number Information
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NPI Number | 1821087396
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Entity Type | Individual
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Provider Name | DOUGLAS N WILLIAMS PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 380 UNION ST SUITE 107
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-4123
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Country | US
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Telephone | 413-734-2676
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Fax | 413-214-6400
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Provider Business Mailing Address
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Address Line | 9 ELLSWORTH RD
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City | BROAD BROOK
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State | CT
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Zip | 06016-9682
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Country | US
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Telephone | 413-734-2676
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Fax | 413-214-6400
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4546
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 002545
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License Number State | CT
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