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General NPI Number Information
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NPI Number | 1881989879
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Entity Type | Individual
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Provider Name | CHRISTINA SCULLY M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/17/2011
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 1170 PONTIAC AVE
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City | CRANSTON
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State | RI
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Zip | 02920-7944
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Country | US
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Telephone | 401-500-0424
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Fax |
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Provider Business Mailing Address
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Address Line | 47 DANIELSON PIKE
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City | NORTH SCITUATE
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State | RI
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Zip | 02857-1892
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Country | US
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Telephone | 401-268-5333
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Fax | 855-268-5333
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD14647
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License Number State | RI
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