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General NPI Number Information
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NPI Number | 1770445348
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Entity Type | Individual
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Provider Name | NOORULHAQ SADEQI
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Gender | Male
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 166 VALLEY ST BLDG 6M
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City | PROVIDENCE
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State | RI
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Zip | 02909-2400
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Country | US
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Telephone | 401-499-2745
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Fax |
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Provider Business Mailing Address
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Address Line | 43 YORKTOWN RD FL 1
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-2122
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Country | US
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Telephone | 401-440-7280
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 1861891236
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License Number State | RI
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