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General NPI Number Information
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NPI Number | 1093723546
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Entity Type | Organization
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Legal Business Name | GASTROENTEROLOGY ASSOCIATES INC
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 44 WEST RIVER STREET
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City | PROVIDENCE
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State | RI
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Zip | 02904
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Country | US
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Telephone | 401-274-4800
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Fax | 401-454-0410
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Provider Business Mailing Address
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Address Line | 44 WEST RIVER STREET
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City | PROVIDENCE
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State | RI
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Zip | 02904-2609
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Country | US
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Telephone | 401-274-4800
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Fax | 401-454-0410
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Authorized Official
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Title or Position | PRESIDENT
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Name | NEIL R GREENSPAN
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Credential | MD
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Telephone | 401-274-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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