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General NPI Number Information
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NPI Number | 1912172289
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Entity Type | Individual
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Provider Name | ANN BURDETTE WILLIAMS LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 379 SACKETT ST APT. 1
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City | BROOKLYN
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State | NY
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Zip | 11231-4703
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Country | US
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Telephone | 718-938-7937
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Fax |
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Provider Business Mailing Address
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Address Line | 182 E 79TH ST SUITE A1
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City | NEW YORK
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State | NY
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Zip | 10075-0492
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Country | US
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Telephone | 212-327-4241
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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 | R-076090-1
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License Number State | NY
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