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General NPI Number Information
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NPI Number | 1225797830
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Entity Type | Organization
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Legal Business Name | VILLAGE WELLNESS COUNSELING SERVICES
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 75 ARDMORE AVE
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City | PROVIDENCE
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State | RI
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Zip | 02908-2005
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Country | US
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Telephone | 401-525-8236
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Fax |
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Provider Business Mailing Address
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Address Line | 75 ARDMORE AVE
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City | PROVIDENCE
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State | RI
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Zip | 02908-2005
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Country | US
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Telephone | 401-525-8236
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Fax |
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Authorized Official
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Title or Position | BILLER
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Name | CHRISTINE HEDDING
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Credential |
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Telephone | 508-740-7205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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