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General NPI Number Information
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NPI Number | 1518511021
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Entity Type | Individual
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Provider Name | EFFIEN KING FNP
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Gender | Female
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Dates
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Enumeration Date | 08/01/2019
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 126 PROSPECT ST STE 105
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City | PAWTUCKET
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State | RI
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Zip | 02860-4429
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Country | US
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Telephone | 401-753-2526
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Fax | 401-235-4152
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Provider Business Mailing Address
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Address Line | 143 LONGWOOD AVE
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City | PROVIDENCE
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State | RI
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Zip | 02908-1121
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Country | US
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Telephone | 323-770-6210
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F06192202
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 364SP0810X
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Taxonomy Name | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | APRN02620
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License Number State | RI
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