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General NPI Number Information
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NPI Number | 1184947954
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Entity Type | Organization
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Legal Business Name | HEALTHCARE OF RHODE ISLAND LLC
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 50 S COUNTY COMMONS WAY BLDG. 6 E 3 REAR
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City | SOUTH KINGSTOWN
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State | RI
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Zip | 02879-2296
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Country | US
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Telephone | 401-284-2555
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Fax | 401-284-1181
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Provider Business Mailing Address
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Address Line | 50 S COUNTY COMMONS WAY BLDG. 6 E 3 REAR
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City | SOUTH KINGSTOWN
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State | RI
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Zip | 02879-2296
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Country | US
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Telephone | 401-284-2555
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Fax | 401-284-1181
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Authorized Official
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Title or Position | PRESIENDT/OWNER
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Name | DONNA KENNEDY
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Credential |
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Telephone | 401-284-2555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | NPA00105
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | NPA00105
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License Number State | RI
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