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General NPI Number Information
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NPI Number | 1871718718
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Entity Type | Individual
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Provider Name | BRETT C AUCLAIRE MSN NP
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 09/26/2014
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Provider Practice Location Address
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Address Line | 40 CANDACE STREET
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City | PROVIDENCE
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State | RI
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Zip | 02908
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Country | US
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Telephone | 401-444-0550
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Fax | 401-444-0425
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Provider Business Mailing Address
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Address Line | 375 ALLENS AVENUE
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City | PROVIDENCE
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State | RI
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Zip | 02905-5010
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Country | US
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Telephone | 603-244-8061
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Fax | 603-948-1191
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NPP37918
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License Number State | RI
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