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General NPI Number Information
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NPI Number | 1184043036
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Entity Type | Organization
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Legal Business Name | VETERANS COMMUNITY FOUNDATION
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Dates
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Enumeration Date | 04/08/2014
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Last Update Date | 04/08/2014
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Provider Practice Location Address
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Address Line | 640 GEORGE WASHINGTON HWY BUILDING B LOWER LEVEL
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City | LINCOLN
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State | RI
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Zip | 02865-4332
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Country | US
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Telephone | 401-334-4376
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Fax | 401-334-4378
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Provider Business Mailing Address
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Address Line | 640 GEORGE WASHINGTON HWY BUILDING B, LOWER LEVEL
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City | LINCOLN
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State | RI
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Zip | 02865-4332
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Country | US
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Telephone | 401-334-4376
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Fax | 401-334-4378
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Authorized Official
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Title or Position | CEO
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Name | MS. KIMBERLY SUE SILVA
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Credential |
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Telephone | 401-334-4376
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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 |
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License Number State |
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