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General NPI Number Information
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NPI Number | 1003005497
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Entity Type | Organization
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Legal Business Name | NINIGRET ORTHOPEDICS INC
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 07/06/2009
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Provider Practice Location Address
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Address Line | 81 BEACH ST
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City | WESTERLY
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State | RI
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Zip | 02891-2769
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Country | US
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Telephone | 401-596-9039
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Fax |
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Provider Business Mailing Address
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Address Line | 81 BEACH ST
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City | WESTERLY
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State | RI
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Zip | 02891-2769
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Country | US
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Telephone | 401-596-9039
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KERRY TOTH
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Credential |
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Telephone | 401-596-9039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 8611
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License Number State | RI
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