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General NPI Number Information
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NPI Number | 1114023017
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Entity Type | Individual
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Provider Name | ANTOINE F O HADAMARD MD
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 04/06/2009
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Provider Practice Location Address
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Address Line | 176 TOLL GATE RD #302
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City | WARWICK
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State | RI
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Zip | 02886-4482
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Country | US
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Telephone | 401-738-5060
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Fax | 401-738-0096
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Provider Business Mailing Address
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Address Line | 176 TOLL GATE RD #302
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City | WARWICK
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State | RI
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Zip | 02886-4482
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Country | US
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Telephone | 401-738-5060
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Fax | 401-738-0096
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | RHODEISLAND4545
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License Number State | RI
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