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General NPI Number Information
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NPI Number | 1235100280
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Entity Type | Individual
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Provider Name | ANNA MARIE FLAHERTY FNP
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Gender | Female
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Dates
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Enumeration Date | 01/29/2006
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | ALEXANDER SCAGNELLI, MD, PC 469 CENTERVILLE RD. SUITE 103
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City | WARWICK
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State | RI
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Zip | 02886-4335
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Country | US
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Telephone | 401-821-4100
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Fax | 401-823-9180
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Provider Business Mailing Address
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Address Line | 5 PINEWOOD DRIVE
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-3413
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Country | US
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Telephone | 401-559-7384
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Fax | 401-823-9180
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NPP 19663
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN00248
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License Number State | RI
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