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NPI 1093880148

NPI 1093880148 : COMPREHENSIVE HEALTHCARE INC. : LINCOLN, RI

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General NPI Number Information
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    NPI Number           |    1093880148
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMPREHENSIVE HEALTHCARE INC. 
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Dates
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    Enumeration Date     |    11/22/2006
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    Last Update Date     |    03/25/2025
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Provider Practice Location Address
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    Address Line         |    652 GEORGE WASHINGTON HWY UNIT 201 
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    City                 |    LINCOLN
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    State                |    RI
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    Zip                  |    02865-4267
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    Country              |    US
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    Telephone            |    401-353-5224
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    Fax                  |    401-353-5162
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Provider Business Mailing Address
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    Address Line         |    652 GEORGE WASHINGTON HWY UNIT 201 
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    City                 |    LINCOLN
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    State                |    RI
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    Zip                  |    02865-4267
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    Country              |    US
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    Telephone            |    14-353-5224
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    Fax                  |    401-353-5162
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Authorized Official
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    Title or Position    |    SOLE PROPRIETOR
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    Name                 |    DR. CHRISTOPHER JOSEPH SUPERCZYNSKI 
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    Credential           |    M.D.
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    Telephone            |    401-353-5224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    MD10232
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    License Number State |    RI
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