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General NPI Number Information
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NPI Number | 1477217255
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Entity Type | Individual
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Provider Name | KERRY A DZIKIEWICZ LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 75 LAMBERT LIND HWY
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City | WARWICK
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State | RI
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Zip | 02886-1131
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Country | US
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Telephone | 401-681-4274
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Fax | 401-681-4274
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Provider Business Mailing Address
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Address Line | 200 MAIN ST STE 210
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City | PAWTUCKET
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State | RI
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Zip | 02860-4119
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC01286
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License Number State | RI
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