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General NPI Number Information
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NPI Number | 1760325492
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Entity Type | Individual
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Provider Name | JIANNA ALYSSA ADAMS
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Gender | Female
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 110 PAUL ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-1354
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Country | US
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Telephone | 401-456-9369
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Fax |
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Provider Business Mailing Address
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Address Line | 21 REDWING ST
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City | PROVIDENCE
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State | RI
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Zip | 02907-1721
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Country | US
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Telephone | 401-391-5357
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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