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General NPI Number Information
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NPI Number | 1902253693
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Entity Type | Organization
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Legal Business Name | PETER WILLIAMS, PHD
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Dates
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Enumeration Date | 05/23/2016
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Last Update Date | 05/23/2016
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Provider Practice Location Address
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Address Line | 5 67TH STREET
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City | NEWBURYPORT
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State | MA
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Zip | 01950-6197
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Country | US
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Telephone | 978-465-3366
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Fax | 978-499-9922
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Provider Business Mailing Address
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Address Line | PO BOX 1197
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City | NEWBURYPORT
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State | MA
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Zip | 01950-6197
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Country | US
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Telephone | 978-465-3366
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Fax | 978-499-9922
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Authorized Official
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Title or Position | OWNER
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Name | DR. PETER CHARLES WILLIAMS
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Credential | PHD
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Telephone | 978-465-3366
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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 | 3525
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License Number State | MA
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