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General NPI Number Information
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NPI Number | 1134242472
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Entity Type | Organization
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Legal Business Name | RHODE ISLAND FOOT CARE, INC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 11/20/2009
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Provider Practice Location Address
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Address Line | 649 EAST AVE
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City | PAWTUCKET
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State | RI
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Zip | 02860-6157
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Country | US
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Telephone | 401-305-3800
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Fax | 401-305-3816
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Provider Business Mailing Address
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Address Line | 649 EAST AVE
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City | PAWTUCKET
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State | RI
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Zip | 02860-6157
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Country | US
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Telephone | 401-305-3800
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Fax | 401-305-3816
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID MARC GREENBERG
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Credential | D.P.M.
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Telephone | 401-305-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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