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General NPI Number Information
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NPI Number | 1902302557
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Entity Type | Individual
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Provider Name | VIVIA D AYRTON
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Gender | Female
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 460 PINE ST
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City | PROVIDENCE
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State | RI
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Zip | 02907-1358
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Country | US
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Telephone | 401-272-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 282 ORANGE ST
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City | FALL RIVER
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State | MA
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Zip | 02720-5124
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Country | US
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Telephone | 786-357-2631
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC00399-A
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License Number State | RI
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