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General NPI Number Information
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NPI Number | 1538434634
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Entity Type | Individual
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Provider Name | JENNIFER C RAO PA
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Gender | Female
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 125 METRO CENTER BOULEVARD SUITE 2000
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City | WARWICK
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State | RI
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Zip | 02886-1768
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Country | US
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Telephone | 401-432-2500
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Fax | 401-453-8220
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Provider Business Mailing Address
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Address Line | 125 METRO CENTER BOULEVARD SUITE 2000
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City | WARWICK
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State | RI
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Zip | 02886-1768
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Country | US
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Telephone | 401-432-2500
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Fax | 401-453-8220
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA00355
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License Number State | RI
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