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General NPI Number Information
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NPI Number | 1538492525
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Entity Type | Individual
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Provider Name | PATRICIA L GIARRUSSO PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 1126 HARTFORD AVE
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City | JOHNSTON
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State | RI
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Zip | 02919-7109
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Country | US
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Telephone | 401-351-2750
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Fax | 13-516-6134
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Provider Business Mailing Address
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Address Line | 7777 FOREST LN C 833
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City | DALLAS
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State | TX
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Zip | 75230-2505
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Country | US
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Telephone | 972-566-4591
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Fax | 972-566-6679
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN01699
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 768894
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License Number State | TX
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