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General NPI Number Information
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NPI Number | 1003926452
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Entity Type | Individual
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Provider Name | RONALD C GOBEIL DO
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 11/29/2019
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Provider Practice Location Address
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Address Line | 200 HIGH SERVICE AVENUE MARIAN HALL 1ST FLOOR
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904
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Country | US
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Telephone | 401-456-3649
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Fax | 401-752-8116
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Provider Business Mailing Address
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Address Line | 425 LAKE AVE N STE 101
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City | WORCESTER
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State | MA
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Zip | 01605-2047
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Country | US
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Telephone | 508-753-3220
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Fax | 508-753-3224
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 56954
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D000448
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License Number State | RI
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