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General NPI Number Information
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NPI Number | 1275882409
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Entity Type | Individual
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Provider Name | KATHRYN ELIZABETH SLINEY MPAS, PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/04/2012
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 3461 SOUTH COUNTY TRAIL SUITE 202
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City | EAST GREENWICH
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State | RI
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Zip | 02818
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Country | US
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Telephone | 401-471-3376
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Fax | 401-471-6865
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Provider Business Mailing Address
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Address Line | 3461 SOUTH COUNTY TRAIL SUITE 202
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City | EAST GREENWICH
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State | RI
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Zip | 02818
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Country | US
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Telephone | 401-471-3376
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Fax | 401-471-6865
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1805
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA00711
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License Number State | RI
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