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General NPI Number Information
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NPI Number | 1083799530
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Entity Type | Organization
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Legal Business Name | LIFESPAN CORP LFSPN DSI DBA HOSPICE OF RI
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 169 GEORGE ST
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City | PAWTUCKET
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State | RI
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Zip | 02860-3853
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Country | US
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Telephone | 401-727-7070
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Fax | 401-312-2321
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Provider Business Mailing Address
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Address Line | 169 GEORGE ST
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City | PAWTUCKET
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State | RI
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Zip | 02860-3853
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Country | US
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Telephone | 401-727-7070
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Fax | 401-312-2321
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Authorized Official
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Title or Position | PATIENT ACCOUNTS MANAGER
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Name | TERESA HELGERSON
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Credential |
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Telephone | 401-724-3287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HNC02313
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License Number State | RI
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