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General NPI Number Information
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NPI Number | 1922892298
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Entity Type | Individual
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Provider Name | SARA DIONNE MSW LICSW
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Gender | Female
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 31 JOHN CLARKE RD
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City | MIDDLETOWN
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State | RI
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Zip | 02842-5641
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Country | US
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Telephone | 401-659-5847
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Fax |
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Provider Business Mailing Address
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Address Line | 48 DIANNE AVE
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City | PORTSMOUTH
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State | RI
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Zip | 02871-3309
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Country | US
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Telephone | 401-935-0086
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW03047
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License Number State | RI
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