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General NPI Number Information
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NPI Number | 1922441856
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Entity Type | Individual
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Provider Name | AMY MARGARET WILLIAMS PHD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2013
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 2799 W GRAND BLVD K-8 OTOLARYNGOLOGY HENRY FORD HOSPITAL,
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City | DETROIT
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State | MI
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Zip | 48202
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Country | US
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Telephone | 313-461-1087
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Fax |
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Provider Business Mailing Address
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Address Line | 22665 HIGHBANK DR
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City | BEVERLY HILLS
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State | MI
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Zip | 48025-4738
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Country | US
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Telephone | 248-996-4115
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301016273
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License Number State | MI
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