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General NPI Number Information
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NPI Number | 1962938720
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Entity Type | Individual
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Provider Name | ELIZABETH K WELCH NP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/31/2019
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Provider Practice Location Address
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Address Line | 1 KETTLE POINT AVE
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-5375
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Country | US
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Telephone | 401-443-4222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1119
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City | PROVIDENCE
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State | RI
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Zip | 02901-1119
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN47527
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN01639
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License Number State | RI
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