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General NPI Number Information
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NPI Number | 1841501491
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND, LLC
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 110 MAIN ST SUITE 308
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City | EAST GREENWICH
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State | RI
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Zip | 02818-3861
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Country | US
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Telephone | 401-626-7183
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Fax |
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Provider Business Mailing Address
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Address Line | 21 MAPLE ST
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City | HOPE VALLEY
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State | RI
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Zip | 02832-2001
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Country | US
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Telephone | 401-626-7183
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. BRIAN HOWARD
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Credential | PSY.D.
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Telephone | 401-626-7183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS00914
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License Number State | RI
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