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General NPI Number Information
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NPI Number | 1467532168
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Entity Type | Individual
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Provider Name | DOREEN DONNELLY NP
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 6 JOHN H CHAFEE BLVD
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City | NEWPORT
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State | RI
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Zip | 02840-1034
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Country | US
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Telephone | 401-848-2160
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Fax |
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Provider Business Mailing Address
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Address Line | 6 JOHN H CHAFEE BLVD
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City | NEWPORT
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State | RI
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Zip | 02840-1034
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Country | US
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Telephone | 401-848-2130
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Fax | 401-847-4245
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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 | APRN01267
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | NPP32286
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License Number State | RI
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