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General NPI Number Information
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NPI Number | 1740793694
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Entity Type | Individual
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Provider Name | IVETTE K. SENA RN, CDOE
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Gender | Female
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Dates
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Enumeration Date | 11/14/2017
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 1 RANDALL SQ
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City | PROVIDENCE
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State | RI
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Zip | 02904-2709
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Country | US
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Telephone | 14-440-4144
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Fax | 401-354-1428
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Provider Business Mailing Address
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Address Line | 375 ALLENS AVE
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City | PROVIDENCE
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State | RI
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Zip | 02905-5010
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Country | US
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Telephone | 401-444-0400
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN051172
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | RN51172
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License Number State | RI
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