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General NPI Number Information
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NPI Number | 1083420558
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Entity Type | Individual
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Provider Name | HARRIET GARRETT MCA
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Gender | Female
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 2756 POST RD
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City | WARWICK
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State | RI
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Zip | 02886-3077
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Country | US
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Telephone | 401-296-3686
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Fax |
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Provider Business Mailing Address
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Address Line | 58 GESLER ST APT 3
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City | PROVIDENCE
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State | RI
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Zip | 02909-1506
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Country | US
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Telephone | 917-833-5957
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC00259-A
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License Number State | RI
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