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General NPI Number Information
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NPI Number | 1730791377
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Entity Type | Individual
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Provider Name | MR. DONALD RICHARD CONFALONE JR.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 525 TAUNTON AVE
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-1604
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Country | US
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Telephone | 140-143-8317
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Fax |
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Provider Business Mailing Address
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Address Line | 18 MOORE ST
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City | RUMFORD
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State | RI
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Zip | 02916-2015
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Country | US
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Telephone | 401-580-5717
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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