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NPI 1386639631

NPI 1386639631 : FIONA CRAFT NP : PROVIDENCE, RI

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General NPI Number Information
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    NPI Number           |    1386639631
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    Entity Type          |    Individual 
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    Provider Name        |    FIONA CRAFT NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/13/2005
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    Last Update Date     |    02/24/2015
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Provider Practice Location Address
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    Address Line         |    593 EDDY ST 
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02903-4923
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    Country              |    US
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    Telephone            |    401-519-1604
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    Fax                  |    401-272-0538
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Provider Business Mailing Address
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    Address Line         |    PO BOX 9484 
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02940-9484
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    Country              |    US
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    Telephone            |    401-854-2500
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    Fax                  |    401-854-2519
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    NPP37270
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    License Number State |    RI
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Taxonomy #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    APRN00317
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    License Number State |    RI
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