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NPI 1164349833

NPI 1164349833 : SAYRA M PEREZ NIEVES CHW : PROVIDENCE, RI

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General NPI Number Information
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    NPI Number           |    1164349833
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    Entity Type          |    Individual 
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    Provider Name        |    SAYRA M PEREZ NIEVES CHW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/02/2026
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    Last Update Date     |    07/02/2026
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Provider Practice Location Address
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    Address Line         |    7 CENTRAL ST 
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02907-2201
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    Country              |    US
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    Telephone            |    401-648-4700
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    Fax                  |    833-905-2260
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Provider Business Mailing Address
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    Address Line         |    7 CENTRAL ST 
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02907-2201
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    Country              |    US
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    Telephone            |    401-648-4700
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    Fax                  |    833-905-2260
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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        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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    License Number       |    202012
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    License Number State |    RI
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