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General NPI Number Information
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NPI Number | 1437844248
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Entity Type | Individual
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Provider Name | PAULA LEONEL NAMBU
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Gender | Female
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Dates
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Enumeration Date | 04/07/2023
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 593 EDDY STREET CLAVERICK 2
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City | PROVIDENCE
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State | RI
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Zip | 02903
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Country | US
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Telephone | 401-444-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 125 WHIPPLE ST STE 3
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City | PROVIDENCE
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State | RI
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Zip | 02908-3258
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN2358582
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN03998
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License Number State | RI
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