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General NPI Number Information
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NPI Number | 1326875840
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Entity Type | Organization
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Legal Business Name | RHODE ISLAND CENTER FOR OCD AND ANXIETY LLC
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 283 WILLIAMS CROSSING RD
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City | COVENTRY
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State | RI
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Zip | 02827
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Country | US
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Telephone | 401-269-5724
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Fax |
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Provider Business Mailing Address
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Address Line | 13 AIRPORT RD # 1016
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City | WESTERLY
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State | RI
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Zip | 02891-3401
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Country | US
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Telephone | 774-214-8076
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | CODY E FOURNIER
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Credential | LICSW
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Telephone | 774-214-8076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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