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General NPI Number Information
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NPI Number | 1598065633
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Entity Type | Organization
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Legal Business Name | WOMEN'S CENTER OF RHODE ISLAND
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 24 BLODGETT AVE
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City | PAWTUCKET
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State | RI
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Zip | 02860
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Country | US
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Telephone | 401-861-2761
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Fax | 401-861-2762
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Provider Business Mailing Address
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Address Line | P.O. BOX 603300
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City | PROVIDENCE
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State | RI
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Zip | 02906-2548
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Country | US
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Telephone | 401-861-2761
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Fax | 401-861-2762
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. KRISTIN E. LYONS
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Credential | LICSW
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Telephone | 401-861-2761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | RI
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