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NPI 1215847090

NPI 1215847090 : THE CAPABLE COTTAGE LLC : PROVIDENCE, RI

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General NPI Number Information
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    NPI Number           |    1215847090
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE CAPABLE COTTAGE LLC 
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Dates
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    Enumeration Date     |    09/11/2026
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    Last Update Date     |    09/11/2026
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Provider Practice Location Address
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    Address Line         |    171 CHESTNUT ST STE 200 
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02903-4604
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    Country              |    US
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    Telephone            |    401-287-4012
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9 LEEDER ST 
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    City                 |    WEST WARWICK
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    State                |    RI
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    Zip                  |    02893-3813
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     GABRIELLA  CARCANO 
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    Credential           |    LCDP
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    Telephone            |    401-287-4012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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