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General NPI Number Information
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NPI Number | 1336035179
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Entity Type | Individual
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Provider Name | EMMA-LEA GONCALVES LPN
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Gender | Female
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 45 SOCKANOSSET CROSS RD
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City | CRANSTON
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State | RI
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Zip | 02920-5529
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Country | US
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Telephone | 401-383-4885
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Fax |
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Provider Business Mailing Address
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Address Line | 86 RIVER ST
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City | WARWICK
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State | RI
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Zip | 02888-1415
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Country | US
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Telephone | 401-433-8858
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN13786
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License Number State | RI
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