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General NPI Number Information
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NPI Number | 1396133526
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Entity Type | Organization
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Legal Business Name | BPOIRIER LICSW, INC
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Dates
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Enumeration Date | 12/22/2014
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Last Update Date | 12/22/2014
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Provider Practice Location Address
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Address Line | 2444 E MAIN RD
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City | PORTSMOUTH
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State | RI
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Zip | 02871-4025
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Country | US
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Telephone | 401-683-7460
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Fax |
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Provider Business Mailing Address
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Address Line | 2444 E MAIN RD
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City | PORTSMOUTH
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State | RI
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Zip | 02871-4025
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BEVERLY POIRIER
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Credential | LICSW
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Telephone | 401-683-7460
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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 | ISW00509
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License Number State | RI
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