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General NPI Number Information
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NPI Number | 1003895905
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Entity Type | Organization
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Legal Business Name | MEDICAL HOMES OF RHODE ISLAND INC
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 49 OLD POCASSET RD
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City | JOHNSTON
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State | RI
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Zip | 02919
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Country | US
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Telephone | 401-944-2450
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Fax |
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Provider Business Mailing Address
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Address Line | 49 OLD POCASSET RD
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City | JOHNSTON
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State | RI
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Zip | 02919-3111
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Country | US
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Telephone | 401-944-2450
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. AKSHAY K TALWAR
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Credential | NHA JD CPA
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Telephone | 401-944-2450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 435
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License Number State | RI
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