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General NPI Number Information
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NPI Number | 1912199795
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Entity Type | Individual
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Provider Name | PRISCILLA TEW HESLIN LICSW (MSW)
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Gender | Female
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 06/21/2010
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Provider Practice Location Address
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Address Line | 1130 TEN ROD RD
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-4161
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Country | US
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Telephone | 401-294-9600
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Fax | 401-295-7395
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Provider Business Mailing Address
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Address Line | 1130 TEN ROD RD
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-4161
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Country | US
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Telephone | 401-294-9600
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Fax | 401-295-7395
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC4339
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License Number State | ME
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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 | ISW00679
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License Number State | RI
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