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General NPI Number Information
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NPI Number | 1487758587
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Entity Type | Individual
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Provider Name | CAROL ANN LARKIN ANP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 10/05/2009
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Provider Practice Location Address
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Address Line | 593 EDDY STREET 5TH FLOOR
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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 | 401-444-4741
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Fax |
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Provider Business Mailing Address
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Address Line | 167 POINT ST ROOM 021
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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 | 401-444-5640
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NPP23782
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License Number State | RI
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