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General NPI Number Information
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NPI Number | 1881796951
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Entity Type | Organization
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Legal Business Name | FAMILY MATTERS
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 500 JEFFERSON BLVD
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City | WARWICK
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State | RI
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Zip | 02886-1362
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Country | US
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Telephone | 401-737-0820
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Fax | 401-737-0830
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Provider Business Mailing Address
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Address Line | 500 JEFFERSON BLVD
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City | WARWICK
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State | RI
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Zip | 02886-1362
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Country | US
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Telephone | 401-737-0820
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Fax | 401-737-0830
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | TRACY CLARK WOODARD
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Credential | MS, LMFT
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Telephone | 401-737-0820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC00272
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW00221
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT00096
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License Number State | RI
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT00049
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License Number State | RI
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT00098
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License Number State | RI
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT00055
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License Number State | RI
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Taxonomy #7
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC00354
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License Number State | RI
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Taxonomy #8
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT00122
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License Number State | RI
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Taxonomy #9
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC00461
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License Number State | RI
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Taxonomy #10
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT00089
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License Number State | RI
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