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NPI Code Detail

MEDICARE: DR. CANDICE S BEAUBIAN-ESPINOZA MD

MEDICARE: DR. CANDICE S BEAUBIAN-ESPINOZA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry PhysicianMD19960RI

General Provider Information

NPI Number : 1912562992
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CANDICE S BEAUBIAN-ESPINOZA MD
Provider Business Mailing Address
First Line : 2756 POST RD # 103
Second Line :
City : WARWICK
State : RI
Zip : 02886-3077
Country : US
Telephone Number : 401-691-6000
Fax Number : 401-738-7718
Provider Business Practice Location Address
First Line : 2756 POST RD
Second Line :
City : WARWICK
State : RI
Zip : 02886-3077
Country : US
Telephone Number : 401-691-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2019
Last Update Date : 02/03/2026

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