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NPI 1669745147

NPI 1669745147 : CHRISTOPHER GELINAS : NORTH SMITHFIELD, RI

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General NPI Number Information
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    NPI Number           |    1669745147
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER GELINAS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/15/2012
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    Last Update Date     |    06/10/2022
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Provider Practice Location Address
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    Address Line         |    117 EDDIE DOWLING HWY UNIT LLA 
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    City                 |    NORTH SMITHFIELD
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    State                |    RI
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    Zip                  |    02896-7337
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    Country              |    US
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    Telephone            |    401-636-4870
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    117 EDDIE DOWLING HWY UNIT LLA 
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    City                 |    NORTH SMITHFIELD
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    State                |    RI
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    Zip                  |    02896-7337
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    Country              |    US
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    Telephone            |    401-636-4870
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    C529
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    License Number State |    RI
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