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General NPI Number Information
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NPI Number | 1205311263
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Entity Type | Organization
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Legal Business Name | YELLOW HORSE INC.
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Dates
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Enumeration Date | 09/26/2018
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 2552 TEN ROD RD.
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City | EXELER
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State | RI
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Zip | 02822
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Country | US
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Telephone | 401-249-1520
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Fax |
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Provider Business Mailing Address
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Address Line | 2552 TEN ROD RD
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City | EXELER
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State | RI
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Zip | 02822
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Country | US
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Telephone | 401-249-1520
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. JOYE A. BRIGGS
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Credential |
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Telephone | 401-249-1520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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