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General NPI Number Information
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NPI Number | 1508927229
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Entity Type | Individual
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Provider Name | PAMELA ANN SOWA RN
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 186 CASS AVE
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City | WOONSOCKET
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State | RI
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Zip | 02895-4712
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Country | US
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Telephone | 401-769-9355
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Fax | 401-765-1721
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Provider Business Mailing Address
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Address Line | 6 HOLLY LN
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City | CUMBERLAND
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State | RI
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Zip | 02864-3329
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Country | US
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Telephone | 401-333-6047
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | RN2118
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License Number State | RI
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