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General NPI Number Information
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NPI Number | 1497819593
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Entity Type | Organization
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Legal Business Name | PROVIDENCE WHOLISTIC HEALTHCARE
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 144 WATERMAN STREET SUITE #3
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City | PROVIDENCE
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State | RI
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Zip | 02906
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Country | US
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Telephone | 401-455-0546
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Fax | 401-751-4165
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Provider Business Mailing Address
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Address Line | PO BOX 2424
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City | PROVIDENCE
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State | RI
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Zip | 02906
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Country | US
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Telephone | 401-455-0546
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Fax | 401-751-4165
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Authorized Official
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Title or Position | SEC/OFFICE MANAGER
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Name | CAROL L SENG
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Credential | DA, LAC
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Telephone | 401-455-0546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | RIDA00153
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | MA203351
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License Number State | MA
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