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General NPI Number Information
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NPI Number | 1952717720
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Entity Type | Individual
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Provider Name | JULIE WILLIAMS PSYD
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Gender | Female
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 625 COMMERCE DR STE 104
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City | LAKELAND
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State | FL
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Zip | 33813-2733
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Country | US
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Telephone | 863-732-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 3067 SAGINAW DR
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City | POLAND
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State | OH
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Zip | 44514-2116
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Country | US
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Telephone | 330-727-0772
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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 | PY12470
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License Number State | FL
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