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General NPI Number Information
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NPI Number | 1598576811
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Entity Type | Individual
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Provider Name | JENNA M ANTHONY
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Gender | Female
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 610 MANTON AVE
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City | PROVIDENCE
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State | RI
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Zip | 02909-5633
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Country | US
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Telephone | 401-274-6310
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Fax |
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Provider Business Mailing Address
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Address Line | 640B HOPKINS HILL RD
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City | WEST GREENWICH
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State | RI
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Zip | 02817-2562
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Country | US
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Telephone | 401-644-4233
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Fax |
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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