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General NPI Number Information
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NPI Number | 1952814097
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Entity Type | Individual
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Provider Name | MARY HELEN RIDDLE NP
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Gender | Female
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Dates
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Enumeration Date | 11/12/2017
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1 BLACKSTONE STREET 2ND FLOOR
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City | PROVIDENCE
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State | RI
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Zip | 02903-2759
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Country | US
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Telephone | 401-453-7520
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Fax | 401-453-7529
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Provider Business Mailing Address
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Address Line | PO BOX 3677
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City | NASHUA
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State | NH
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Zip | 03061-3677
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Country | US
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Telephone | 603-577-7900
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Fax | 603-577-7972
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN04457
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN02535
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License Number State | RI
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