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General NPI Number Information
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NPI Number | 1669823399
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Entity Type | Organization
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Legal Business Name | KATHRYN FLEMING-IVES LLC
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Dates
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Enumeration Date | 06/23/2016
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Last Update Date | 06/14/2018
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Provider Practice Location Address
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Address Line | 355 HOPE ST UNIT 1
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City | PROVIDENCE
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State | RI
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Zip | 02906
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Country | US
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Telephone | 401-216-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 10 JEFFERSON DR
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City | EAST GREENWICH
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State | RI
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Zip | 02818-2115
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Country | US
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Telephone | 978-879-6273
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | KATHRYN FLEMING-IVES
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Credential |
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Telephone | 978-870-6273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD13154
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License Number State | RI
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