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General NPI Number Information
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NPI Number | 1093847071
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Entity Type | Individual
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Provider Name | JAMES EDWARD HEALEY AU.D.
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Gender | Male
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 TOLL GATE RD SUITE 203
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City | WARWICK
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State | RI
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Zip | 02886-4440
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Country | US
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Telephone | 401-461-3965
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Fax |
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Provider Business Mailing Address
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Address Line | 38 STRATHMORE RD
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City | CRANSTON
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State | RI
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Zip | 02905-3723
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Country | US
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Telephone | 401-461-3965
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Fax | 401-461-3965
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 63
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License Number State | RI
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