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General NPI Number Information
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NPI Number | 1972843530
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Entity Type | Individual
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Provider Name | CHRISTINE ELIZABETH MCAULIFFE PHD
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Gender | Female
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Dates
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Enumeration Date | 02/19/2013
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 1 RICHMOND SQ STE 103K
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City | PROVIDENCE
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State | RI
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Zip | 02906-5166
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Country | US
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Telephone | 401-209-2044
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Fax |
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Provider Business Mailing Address
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Address Line | 31 ELIOT RD
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City | CRANSTON
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State | RI
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Zip | 02910-4820
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Country | US
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Telephone | 315-489-9904
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 019238
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS01354
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License Number State | RI
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