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General NPI Number Information
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NPI Number | 1801728415
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Entity Type | Organization
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Legal Business Name | RAVENSWOOD PSYCHIATRIC SERVICES, P.L.L.C.
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Dates
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Enumeration Date | 05/30/2026
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Last Update Date | 05/30/2026
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Provider Practice Location Address
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Address Line | 195 DAVIS RD
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City | STORRS MANSFIELD
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State | CT
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Zip | 06268-2523
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Country | US
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Telephone | 860-218-0393
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Fax |
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Provider Business Mailing Address
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Address Line | 195 DAVIS RD
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City | STORRS MANSFIELD
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State | CT
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Zip | 06268-2523
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Country | US
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Telephone | 860-218-0393
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | MARLENE M DOLAT
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Credential | PMHNP-BC, FNP-BC
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Telephone | 860-218-0393
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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 |
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License Number State |
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