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General NPI Number Information
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NPI Number | 1912412800
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Entity Type | Organization
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Legal Business Name | PATHS OF RHODE ISLAND, LLC
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 12/13/2017
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Provider Practice Location Address
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Address Line | 30 W MAIN ST UNIT B
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-5112
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Country | US
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Telephone | 860-836-0833
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Fax |
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Provider Business Mailing Address
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Address Line | 40 KEEHER AVE
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City | NEWPORT
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State | RI
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Zip | 02840-2320
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Country | US
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Telephone | 860-836-0833
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | DAVID KLAPATCH
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Credential | LMHC
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Telephone | 860-836-0833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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