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General NPI Number Information
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NPI Number | 1396328357
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Entity Type | Individual
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Provider Name | MRS. REBECCA FREMPONG ANTWI
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Gender | Female
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Dates
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Enumeration Date | 04/28/2021
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 120 ARMISTICE BLVD STE 1
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City | PAWTUCKET
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State | RI
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Zip | 02860-3208
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Country | US
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Telephone | 508-762-7344
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Fax |
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Provider Business Mailing Address
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Address Line | 110 ARMISTICE BLVD STE 1
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City | PAWTUCKET
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State | RI
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Zip | 02860-5354
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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 |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1051009
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2275333
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN02905
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License Number State | RI
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