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General NPI Number Information
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NPI Number | 1720448533
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Entity Type | Individual
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Provider Name | MICHELLE VIVEIROS ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/07/2016
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 740 OAK HILL RD
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-7205
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Country | US
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Telephone | 781-480-1988
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Fax |
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Provider Business Mailing Address
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Address Line | 224 WOOD HILL RD
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City | NARRAGANSETT
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State | RI
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Zip | 02882-4063
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Country | US
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Telephone | 401-316-0333
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 03614
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License Number State | RI
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