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General NPI Number Information
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NPI Number | 1184223364
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Entity Type | Individual
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Provider Name | CAROLINE E FULTON PSYD
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Gender | Female
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 175 NATE WHIPPLE HWY STE 202
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City | CUMBERLAND
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State | RI
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Zip | 02864-1423
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Country | US
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Telephone | 401-405-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 420 SCRABBLETOWN RD STE A
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-3638
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Country | US
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Telephone | 401-268-5333
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Fax | 855-268-5333
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.010346
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PS02327
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 071010346
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS02327
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License Number State | RI
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