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General NPI Number Information
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NPI Number | 1164396792
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Entity Type | Individual
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Provider Name | FRANCISCO ARGELIS HEREDIA DE LOS SANTOS
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Gender | Male
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 10 TRIPPS LN
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City | RIVERSIDE
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State | RI
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Zip | 02915-3014
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Country | US
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Telephone | 401-499-3778
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Fax |
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Provider Business Mailing Address
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Address Line | 83 ROUNDS AVE APT 2
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City | PROVIDENCE
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State | RI
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Zip | 02907-3572
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Country | US
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Telephone | 401-499-3778
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Fax |
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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 | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number | 3297970
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | 3297970
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 3297970
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License Number State | RI
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