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General NPI Number Information
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NPI Number | 1154184125
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Entity Type | Individual
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Provider Name | ANA PALUMBO
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Gender | Female
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Dates
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Enumeration Date | 02/02/2024
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 2000 PAWTUCKET AVE
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-1717
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Country | US
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Telephone | 401-435-7806
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Fax |
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Provider Business Mailing Address
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Address Line | 221 JUNIPER ST
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-5110
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Country | US
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Telephone | 401-744-8090
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 09892
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License Number State | RI
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