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General NPI Number Information
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NPI Number | 1962452276
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Entity Type | Individual
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Provider Name | LINDA ANN DECONTI LICSW
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Gender | Female
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 33 COLLEGE HILL RD SUITE 30E
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City | WARWICK
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State | RI
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Zip | 02886-2776
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Country | US
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Telephone | 401-821-6070
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Fax | 401-821-6047
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Provider Business Mailing Address
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Address Line | 275 GROTTO AVE UNIT 20
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City | PAWTUCKET
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State | RI
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Zip | 02860-3400
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Country | US
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Telephone | 401-724-5184
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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 | ISW00183
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License Number State | RI
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