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General NPI Number Information
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NPI Number | 1235284431
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Entity Type | Individual
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Provider Name | CHERYL HAYNES NP
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 11/02/2012
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Provider Practice Location Address
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Address Line | 2756 POST RD SUITE 103
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City | WARWICK
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State | RI
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Zip | 02886-3003
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Country | US
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Telephone | 401-384-6007
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Fax | 401-773-7878
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Provider Business Mailing Address
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Address Line | 4 ARCHER WAY
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City | COVENTRY
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State | RI
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Zip | 02816-4665
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Country | US
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Telephone | 401-241-3324
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Fax | 401-773-7878
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP37125
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NPP37125
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN32050
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License Number State | RI
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