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General NPI Number Information
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NPI Number | 1144180498
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Entity Type | Organization
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Legal Business Name | BLUESPAN HEALTH LLC
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 1525 WAMPANOAG TRL STE 202
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City | RIVERSIDE
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State | RI
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Zip | 02915-1038
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Country | US
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Telephone | 401-203-3636
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Fax | 401-203-3828
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Provider Business Mailing Address
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Address Line | 1525 WAMPANOAG TRL STE 202
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City | RIVERSIDE
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State | RI
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Zip | 02915-1038
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Country | US
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Telephone | 401-203-3636
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Fax | 401-203-3828
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Authorized Official
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Title or Position | MD, OWNER
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Name | MARIA AILEEN SORIANO-PISATURO
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Credential | MD
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Telephone | 508-361-0405
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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 |
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License Number State |
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