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General NPI Number Information
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NPI Number | 1477462752
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Entity Type | Organization
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Legal Business Name | CARPENTER HALL LLC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 251 MAIN ST
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City | EXETER
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State | RI
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Zip | 02822-3531
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Country | US
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Telephone | 877-262-7803
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Fax |
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Provider Business Mailing Address
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Address Line | 251 MAIN ST
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City | EXETER
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State | RI
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Zip | 02822-3531
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Country | US
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Telephone | 877-262-7803
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KRISTI PROVUNCHER
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Credential |
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Telephone | 401-295-0960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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