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General NPI Number Information
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NPI Number | 1023213980
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Entity Type | Organization
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Legal Business Name | SPARADEO & ASSOCIATES
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 63 CEDAR AVE UNIT 11
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City | EAST GREENWICH
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State | RI
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Zip | 02818-3192
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Country | US
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Telephone | 401-398-7681
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Fax | 401-398-7683
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Provider Business Mailing Address
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Address Line | 63 CEDAR AVE UNIT 11
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City | EAST GREENWICH
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State | RI
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Zip | 02818-3192
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Country | US
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Telephone | 401-398-7681
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Fax | 401-398-7683
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. FRANCIS R SPARADEO
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Credential | PH.D.
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Telephone | 401-398-7681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PS00241
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PS00241
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License Number State | RI
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