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General NPI Number Information
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NPI Number | 1013644855
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Entity Type | Individual
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Provider Name | RILEY NICOLE NASCIMENTO PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 857 POST RD
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City | WARWICK
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State | RI
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Zip | 02888-3360
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Country | US
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Telephone | 401-467-3115
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Fax |
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Provider Business Mailing Address
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Address Line | 538 MAIN ST
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City | SOMERSET
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State | MA
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Zip | 02726-5818
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Country | US
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Telephone | 508-493-4250
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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