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General NPI Number Information
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NPI Number | 1417722323
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Entity Type | Individual
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Provider Name | ALEXANDREA ELENA COLANGELO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 1524 ATWOOD AVE STE 220
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City | JOHNSTON
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State | RI
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Zip | 02919-3278
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Country | US
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Telephone | 401-272-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 308 SUMMIT DR
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City | CRANSTON
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State | RI
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Zip | 02920-3660
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Country | US
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Telephone | 401-688-7146
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN03816
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License Number State | RI
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