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General NPI Number Information
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NPI Number | 1669269742
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Entity Type | Individual
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Provider Name | REBECCA THOMSON
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Gender | Female
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 33 STANIFORD ST
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City | PROVIDENCE
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State | RI
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Zip | 02905-3105
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Country | US
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Telephone | 401-421-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 300 NEW RIVER RD APT 109
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City | MANVILLE
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State | RI
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Zip | 02838-1726
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Country | US
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Telephone | 401-636-6374
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN04550
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License Number State | RI
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