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NPI 1063425189

NPI 1063425189 : CHILD AND FAMILY SERVICES OF NEWPORT COUNTY : MIDDLETOWN, RI

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General NPI Number Information
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    NPI Number           |    1063425189
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHILD AND FAMILY SERVICES OF NEWPORT COUNTY 
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Dates
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    Enumeration Date     |    08/14/2006
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    Last Update Date     |    12/13/2023
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Provider Practice Location Address
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    Address Line         |    31 JOHN CLARKE ROAD 
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    City                 |    MIDDLETOWN
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    State                |    RI
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    Zip                  |    02842-5641
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    Country              |    US
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    Telephone            |    401-849-2300
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    Fax                  |    401-848-4156
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Provider Business Mailing Address
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    Address Line         |    31 JOHN CLARKE ROAD 
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    City                 |    MIDDLETOWN
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    State                |    RI
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    Zip                  |    02842-5641
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    Country              |    US
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    Telephone            |    401-849-2300
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    Fax                  |    401-848-4156
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Authorized Official
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    Title or Position    |    CEO / PRESIDENT
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    Name                 |    MR. MARTIN  SINNOTT 
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    Credential           |    
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    Telephone            |    401-849-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    604
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    License Number State |    RI
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Taxonomy #2
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    RI
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