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General NPI Number Information
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NPI Number | 1033910682
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Entity Type | Organization
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Legal Business Name | EMERALD SPRINGS EQUINE SERVICES
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 287 THIRD BEACH RD
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City | MIDDLETOWN
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State | RI
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Zip | 02842-5736
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Country | US
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Telephone | 860-787-4112
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3344
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City | NEWPORT
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State | RI
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Zip | 02840-0992
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Country | US
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Telephone | 860-787-4112
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VICTORIA MANION FLEMING
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Credential | PHD
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Telephone | 847-412-8000
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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 |
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License Number State |
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