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General NPI Number Information
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NPI Number | 1376148833
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Entity Type | Organization
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Legal Business Name | RHODE ISLAND SEX THERAPY LLC
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 16 HILLSIDE AVE
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City | NAUGATUCK
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State | CT
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Zip | 06770
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Country | US
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Telephone | 401-236-5021
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Fax |
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Provider Business Mailing Address
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Address Line | 270 BELLEVUE AVE
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City | NEWPORT
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State | RI
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Zip | 02840-3516
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Country | US
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Telephone | 401-236-5021
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL STOKES
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Credential | LMHC
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Telephone | 401-236-5021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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