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General NPI Number Information
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NPI Number | 1750095493
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Entity Type | Individual
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Provider Name | DOREEN GENDREAU EDD, APRN-PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 237 STATE RD
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City | DARTMOUTH
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State | MA
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Zip | 02747-2612
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Country | US
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Telephone | 508-979-5557
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Fax | 508-979-5955
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Provider Business Mailing Address
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Address Line | 171 WOODLAND CIR
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City | TIVERTON
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State | RI
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Zip | 02878-2632
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Country | US
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Telephone | 401-450-5222
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Fax | 949-703-7946
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN03864
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License Number State | RI
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