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General NPI Number Information
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NPI Number | 1174002968
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Entity Type | Organization
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Legal Business Name | INESA, INC.
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Dates
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Enumeration Date | 08/13/2018
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 50 BRISAS CIR
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City | EAST GREENWICH
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State | RI
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Zip | 02818-4031
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Country | US
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Telephone | 401-374-3087
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Fax | 401-633-6579
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Provider Business Mailing Address
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Address Line | 50 BRISAS CIR
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City | EAST GREENWICH
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State | RI
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Zip | 02818-4031
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Country | US
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Telephone | 401-374-3087
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Fax | 401-633-6579
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Authorized Official
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Title or Position | MANAGER
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Name | MS. INESA VINARSKAYA
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Credential | M.S., CCC-SLP
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Telephone | 401-374-3087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP00595
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License Number State | RI
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