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General NPI Number Information
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NPI Number | 1255131181
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Entity Type | Organization
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Legal Business Name | INNER RHODES L3C
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 1635 MINERAL SPRING AVE STE 208
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-4025
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Country | US
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Telephone | 401-992-4224
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Fax | 656-650-2956
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Provider Business Mailing Address
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Address Line | 1635 MINERAL SPRING AVE STE 208
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-4025
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Country | US
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Telephone | 401-992-4224
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Fax | 656-650-2956
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Authorized Official
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Title or Position | FOUNDER, CEO
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Name | ANAD L THOMAS
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Credential | PMHNP-BC
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Telephone | 401-992-4224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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