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General NPI Number Information
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NPI Number | 1306796511
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Entity Type | Organization
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Legal Business Name | ACTION ALLY INC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 1130 TEN ROD RD STE C104
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-4127
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Country | US
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Telephone | 401-446-2350
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 TEN ROD RD
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-4161
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Country | US
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Telephone | 401-446-2350
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Fax | 855-337-8090
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Authorized Official
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Title or Position | OWNER
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Name | OLGA GOREA
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Credential | PMHNP-BC
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Telephone | 401-446-2350
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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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