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General NPI Number Information
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NPI Number | 1487839262
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Entity Type | Individual
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Provider Name | REEM KOINIS MA
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Gender | Female
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Dates
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Enumeration Date | 12/30/2007
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 27 BRIAR LN
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City | KINGSTON
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State | RI
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Zip | 02881-1402
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Country | US
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Telephone | 802-495-8133
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Fax | 703-991-6424
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Provider Business Mailing Address
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Address Line | 27 BRIAR LN
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City | KINGSTON
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State | RI
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Zip | 02881-1402
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Country | US
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Telephone | 802-495-8133
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Fax | 703-991-6424
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 068.0127349
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MHC01577
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License Number State | RI
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