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General NPI Number Information
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NPI Number | 1316127426
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Entity Type | Individual
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Provider Name | ERIC B. GABORIAULT LMHC
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Gender | Male
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 1006 CHARLES ST STE 5
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-5075
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Country | US
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Telephone | 401-527-1653
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Fax | 401-421-4608
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Provider Business Mailing Address
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Address Line | 7 RIDGELAND RD
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City | SMITHFIELD
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State | RI
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Zip | 02917-4041
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Country | US
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Telephone | 401-527-1653
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Fax | 401-421-4608
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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 | MHC00316
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License Number State | RI
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