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General NPI Number Information
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NPI Number | 1962520130
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Entity Type | Individual
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Provider Name | KERRY ANN WILLIAMSON R.N., A.P.R.N.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 935 MAIN ST WATKINS CENTER, SUITE C2
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City | MANCHESTER
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State | CT
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Zip | 06040-6059
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Country | US
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Telephone | 860-646-2525
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Fax | 860-646-9680
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Provider Business Mailing Address
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Address Line | 15 KIMBERLY DR
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City | MANCHESTER
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State | CT
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Zip | 06040-6813
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Country | US
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Telephone | 860-533-1148
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Fax | 860-646-9680
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 000890
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License Number State | CT
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