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General NPI Number Information
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NPI Number | 1033323803
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Entity Type | Organization
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Legal Business Name | MS CENTER OF CARE NEW ENGLAD
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/30/2007
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Provider Practice Location Address
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Address Line | 1351 S COUNTY TRL STE 200
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City | EAST GREENWICH
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State | RI
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Zip | 02818-5080
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Country | US
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Telephone | 401-886-0629
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Fax | 401-886-7084
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Provider Business Mailing Address
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Address Line | 25 LINDLEY AVE
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-5712
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Country | US
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Telephone | 401-295-4181
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Fax | 401-886-7084
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Authorized Official
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Title or Position | NURSE PRACTIONER
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Name | KATHLEEN ANNE WALL
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Credential | RNP, MSN
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Telephone | 401-886-0629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | RNP14381
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License Number State | RI
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