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General NPI Number Information
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NPI Number | 1831601178
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Entity Type | Individual
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Provider Name | NI'COLE WHALEN MT
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Gender | Female
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1665 HARTFORD AVE UNIT BOX 4
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City | JOHNSTON
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State | RI
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Zip | 02919-3200
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Country | US
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Telephone | 401-237-0131
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Fax |
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Provider Business Mailing Address
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Address Line | 251 WATERMAN ST
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City | PROVIDENCE
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State | RI
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Zip | 02906-5210
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Country | US
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Telephone | 401-453-4263
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 02374
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number | 202062
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License Number State | RI
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