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General NPI Number Information
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NPI Number | 1538622394
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Entity Type | Organization
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Legal Business Name | PARTNERS IN PSYCHIATRY LLC
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 1525 OLD LOUISQUISSET PIKE STE B203
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City | LINCOLN
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State | RI
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Zip | 02865-4522
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Country | US
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Telephone | 774-291-0617
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 OLD LOUISQUISSET PIKE STE B203
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City | LINCOLN
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State | RI
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Zip | 02865-4522
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Country | US
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Telephone | 774-291-0617
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NP/OWNER
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Name | TABITHA IMONDI
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Credential | APRN, CNP, PMHNP-BC
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Telephone | 401-829-6678
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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 |
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License Number State |
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