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General NPI Number Information
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NPI Number | 1639371768
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Entity Type | Individual
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Provider Name | SUSAN LYNNE HARTNETT MSW LCSW ACSW
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Gender | Female
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 2905 POST RD SUITE 7 KRAEMER BLDG
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City | WARWICK
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State | RI
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Zip | 02886-3176
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Country | US
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Telephone | 401-595-6170
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Fax | 401-789-3059
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Provider Business Mailing Address
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Address Line | 3521 POST RD # B
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City | WAKEFIELD
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State | RI
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Zip | 02879-7573
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Country | US
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Telephone | 401-789-3059
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 058564
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CSW01156
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 436
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License Number State | RI
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW01982
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License Number State | RI
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