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General NPI Number Information
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NPI Number | 1720686942
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Entity Type | Individual
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Provider Name | RENEE MORAIS
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Gender | Female
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 1050 MAIN ST UNIT 18
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City | EAST GREENWICH
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State | RI
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Zip | 02818-3163
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Country | US
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Telephone | 401-886-9669
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Fax |
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Provider Business Mailing Address
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Address Line | 27 FOUNDER AVE
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City | WARWICK
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State | RI
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Zip | 02886-4504
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Country | US
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Telephone | 401-464-1608
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN02823
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License Number State | RI
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