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NPI 1679966337

NPI 1679966337 : FRANCIA FUNG LCDP : PAWTUCKET, RI

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General NPI Number Information
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    NPI Number           |    1679966337
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    Entity Type          |    Individual 
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    Provider Name        |    FRANCIA FUNG LCDP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/05/2015
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    Last Update Date     |    12/11/2025
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Provider Practice Location Address
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    Address Line         |    101-103 BACON STREET 
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    City                 |    PAWTUCKET
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    State                |    RI
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    Zip                  |    02860-5542
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    Country              |    US
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    Telephone            |    401-722-3560
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    Fax                  |    401-722-3593
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Provider Business Mailing Address
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    Address Line         |    1443 HARTFORD AVE 
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    City                 |    JOHNSTON
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    State                |    RI
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    Zip                  |    02919-3224
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    Country              |    US
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    Telephone            |    401-724-8400
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    Fax                  |    401-722-5280
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    CDP00756
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    License Number State |    RI
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