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General NPI Number Information
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NPI Number | 1235509894
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Entity Type | Individual
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Provider Name | LAUREN THOMAS CHARNESS PSYD
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Gender | Female
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 3296 POST RD STE 2A
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City | WARWICK
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State | RI
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Zip | 02886-7131
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Country | US
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Telephone | 401-739-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 3296 POST RD STE 2A
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City | WARWICK
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State | RI
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Zip | 02886-7131
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Country | US
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Telephone | 401-739-1010
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS02278
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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