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General NPI Number Information
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NPI Number | 1760531933
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Entity Type | Individual
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Provider Name | REBECCA NELSON MS, LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 09/28/2015
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Provider Practice Location Address
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Address Line | 1525 OLD LOUISQUISSET PIKE B104
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City | LINCOLN
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State | RI
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Zip | 02865-4503
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Country | US
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Telephone | 401-721-5228
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Fax |
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Provider Business Mailing Address
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Address Line | 9 OLD WEST WRENTHAM RD
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City | CUMBERLAND
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State | RI
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Zip | 02864-1012
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Country | US
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Telephone | 401-439-0706
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0096
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License Number State | RI
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