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General NPI Number Information
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NPI Number | 1215190152
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Entity Type | Organization
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Legal Business Name | ROBERT J. FORTUNA, MD,LTD
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 211 ARMISTICE BLVD
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City | PAWTUCKET
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State | RI
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Zip | 02860-3242
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Country | US
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Telephone | 401-728-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 211 ARMISTICE BLVD
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City | PAWTUCKET
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State | RI
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Zip | 02860-3242
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Country | US
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Telephone | 401-728-8100
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Fax |
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Authorized Official
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Title or Position | ORTHOPAEDIC SURGEON
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Name | DR. ROBERT JOSEPH FORTUNA
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Credential | MD
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Telephone | 401-728-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 6745MD
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License Number State | RI
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