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General NPI Number Information
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NPI Number | 1083501936
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Entity Type | Organization
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Legal Business Name | RHODE ISLAND WELLNESS CLINIC
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 24 SALT POND RD STE B1
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City | WAKEFIELD
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State | RI
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Zip | 02879-4323
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Country | US
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Telephone | 617-780-9774
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Fax |
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Provider Business Mailing Address
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Address Line | 24 SALT POND RD STE B1
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City | WAKEFIELD
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State | RI
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Zip | 02879-4323
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Country | US
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Telephone | 401-642-4051
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Fax | 401-642-5053
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Authorized Official
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Title or Position | PHYSICIAN
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Name | NEIMA HADI
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Credential | MD
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Telephone | 401-642-4051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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