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General NPI Number Information
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NPI Number | 1801682323
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Entity Type | Individual
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Provider Name | SENICA RISHA MUSKELLY
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Gender | Female
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 767 PROVIDENCE ST
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City | WEST WARWICK
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State | RI
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Zip | 02893-1526
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Country | US
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Telephone | 401-743-0271
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 36
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City | WEST WARWICK
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State | RI
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Zip | 02893-0036
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Country | US
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Telephone | 401-743-0271
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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 | 201858
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License Number State | RI
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