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General NPI Number Information
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NPI Number | 1285145417
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Entity Type | Individual
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Provider Name | ALICE RAIM LICSW
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Gender | Female
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Dates
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Enumeration Date | 10/16/2017
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 747 AQUIDNECK AVE STE 2H1
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City | MIDDLETOWN
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State | RI
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Zip | 02842-7265
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Country | US
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Telephone | 401-824-6546
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Fax |
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Provider Business Mailing Address
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Address Line | 18 MILLARD DR
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City | MILFORD
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State | CT
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Zip | 06460-7966
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ISW02803
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW02803
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License Number State | RI
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