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General NPI Number Information
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NPI Number | 1861447831
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Entity Type | Individual
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Provider Name | CYNTHIA POMINVILLE LONGWAY APRN CNS
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Gender | Female
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 828 TOLL GATE RD
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City | WARWICK
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State | RI
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Zip | 02886-2721
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Country | US
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Telephone | 401-385-3936
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Fax | 401-397-3488
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Provider Business Mailing Address
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Address Line | 140 LAKE DR
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City | WEST GREENWICH
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State | RI
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Zip | 02817-1563
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Country | US
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Telephone | 401-338-3782
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Fax | 401-397-3488
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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 | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | APRN00031
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License Number State | RI
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