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General NPI Number Information
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NPI Number | 1548844046
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Entity Type | Individual
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Provider Name | BADIALLO SIDIBE RN
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Gender | Female
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 191 SOCIAL ST STE 180
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City | WOONSOCKET
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State | RI
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Zip | 02895-3213
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Country | US
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Telephone | 401-356-1940
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Fax |
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Provider Business Mailing Address
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Address Line | 127 JOHNNY CAKE HILL RD
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City | MIDDLETOWN
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State | RI
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Zip | 02842-5674
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Country | US
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Telephone | 401-846-1213
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Fax | 401-848-6398
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN63526
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN04082
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License Number State | RI
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