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NPI 1184375123

NPI 1184375123 : KIRSTEN HULL MD : PROVIDENCE, RI

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General NPI Number Information
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    NPI Number           |    1184375123
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    Entity Type          |    Organization 
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    Legal Business Name  |    KIRSTEN HULL MD 
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Dates
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    Enumeration Date     |    01/11/2022
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    Last Update Date     |    01/11/2022
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Provider Practice Location Address
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    Address Line         |    285 GOVERNOR ST STE 250 
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02906-3237
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    Country              |    US
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    Telephone            |    401-238-4297
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    Fax                  |    401-633-7114
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Provider Business Mailing Address
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    Address Line         |    285 GOVERNOR ST STE 250 
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02906-3237
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    Country              |    US
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    Telephone            |    401-238-4297
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    Fax                  |    401-633-7114
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Authorized Official
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    Title or Position    |    PSYCHIATRIST
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    Name                 |    DR. KIRSTEN  HULL 
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    Credential           |    MD
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    Telephone            |    401-238-4297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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