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General NPI Number Information
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NPI Number | 1942046610
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Entity Type | Individual
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Provider Name | HALEE JOYCE PELOSO PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/02/2024
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 132 OLD RIVER RD. STE 108
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City | LINCOLN
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State | RI
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Zip | 02865-1397
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Country | US
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Telephone | 401-723-9250
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Fax | 814-339-6165
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Provider Business Mailing Address
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Address Line | 132 OLD RIVER RD. STE 108
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City | LINCOLN
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State | RI
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Zip | 02865-1397
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Country | US
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Telephone | 401-723-9250
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Fax | 814-339-6165
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA01699
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License Number State | RI
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