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General NPI Number Information
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NPI Number | 1124952171
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Entity Type | Organization
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Legal Business Name | HOPE, HEALING & HOLISTIC PSYCHIATRY
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 154 WATERMAN ST
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City | PROVIDENCE
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State | RI
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Zip | 02906-3116
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Country | US
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Telephone | 401-251-0628
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Fax | 401-340-1580
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Provider Business Mailing Address
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Address Line | 331 RIVER AVE
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City | PROVIDENCE
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State | RI
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Zip | 02908-4248
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Country | US
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Telephone | 401-323-6148
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Fax | 401-340-1580
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | NICOLE L FLANAGAN
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Credential | PMHNPBC, MSN, RN, BA
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Telephone | 401-323-6148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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