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General NPI Number Information
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NPI Number | 1578080909
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Entity Type | Individual
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Provider Name | ELLEN FRANCES BRADY NP
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Gender | Female
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Dates
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Enumeration Date | 08/25/2017
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 400 PUTNAM PIKE
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City | SMITHFIELD
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State | RI
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Zip | 02917
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Country | US
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Telephone | 401-757-6160
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Fax | 401-349-0840
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Provider Business Mailing Address
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Address Line | 159 WESTCOTT RD
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City | NORTH SCITUATE
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State | RI
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Zip | 02857-1751
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Country | US
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Telephone | 401-241-5578
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Fax | 401-398-8765
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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 | APRN01670
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License Number State | RI
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