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General NPI Number Information
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NPI Number | 1689578668
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Entity Type | Organization
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Legal Business Name | PLUR PSYCHIATRIC SERVICES LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 225 NEWMAN AVE STE 315
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City | RUMFORD
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State | RI
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Zip | 02916-1218
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Country | US
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Telephone | 774-264-3965
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Fax |
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Provider Business Mailing Address
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Address Line | 225 NEWMAN AVE STE 315
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City | RUMFORD
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State | RI
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Zip | 02916-1218
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Country | US
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Telephone | 774-264-3965
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Fax |
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Authorized Official
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Title or Position | OWNER, PRACTITIONER
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Name | TARA MARTINO
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Credential | MSN, RN, PMHNP-BC
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Telephone | 774-264-3965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State | NULL
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