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General NPI Number Information
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NPI Number | 1194883215
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Entity Type | Individual
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Provider Name | LINDA CLOUTIER LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 650 TEN ROD RD UNIT 13 FAMILY SERIVCE OF RHODE ISLAND
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-4237
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Country | US
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Telephone | 401-331-1350
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Fax | 401-277-3366
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Provider Business Mailing Address
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Address Line | 9 LINDLEY AVE
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-5712
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Country | US
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Telephone | 401-331-1350
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Fax | 401-277-3366
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT00074
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License Number State | RI
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