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General NPI Number Information
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NPI Number | 1144353558
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Entity Type | Individual
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Provider Name | ANNETTE ESTELLE BRIAND LICSW
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 747 PONTIAC AVE SUITE 302
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City | CRANSTON
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State | RI
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Zip | 02910-5825
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Country | US
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Telephone | 401-467-1113
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Fax |
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Provider Business Mailing Address
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Address Line | 376 OLD RIVER RD
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City | MANVILLE
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State | RI
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Zip | 02838-1244
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Country | US
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Telephone | 401-419-3588
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW00848
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License Number State | RI
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