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General NPI Number Information
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NPI Number | 1588553069
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Entity Type | Organization
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Legal Business Name | RI SUPORT NETWORK LLC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 48 POWER RD
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City | PAWTUCKET
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State | RI
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Zip | 02860-3451
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Country | US
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Telephone | 401-699-1750
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Fax |
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Provider Business Mailing Address
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Address Line | 48 POWER RD
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City | PAWTUCKET
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State | RI
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Zip | 02860-3451
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FRANYELYS WEST
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Credential | CCHW,MPA
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Telephone | 401-699-1750
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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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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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