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General NPI Number Information
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NPI Number | 1417789553
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Entity Type | Individual
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Provider Name | OLGA GOREA PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/16/2024
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1130 TEN ROD RD STE E305
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-4176
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Country | US
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Telephone | 401-294-0451
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Fax | 855-337-8090
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Provider Business Mailing Address
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Address Line | 1117 DOUGLAS AVE UNIT 502
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-5375
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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 | APRN100001987
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License Number State | MA
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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 | APRN04213
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License Number State | RI
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