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NPI 1215566849

NPI 1215566849 : JAMES WILLIAM ASSIF MD : WAKEFIELD, RI

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General NPI Number Information
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    NPI Number           |    1215566849
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES WILLIAM ASSIF MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/06/2020
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    Last Update Date     |    07/03/2025
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Provider Practice Location Address
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    Address Line         |    142 KENYON AVE 
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    City                 |    WAKEFIELD
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    State                |    RI
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    Zip                  |    02879-4216
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    Country              |    US
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    Telephone            |    401-284-0850
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    Fax                  |    401-284-0860
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Provider Business Mailing Address
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    Address Line         |    142 KENYON AVE 
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    City                 |    WAKEFIELD
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    State                |    RI
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    Zip                  |    02879-4216
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    Country              |    US
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    Telephone            |    401-788-8757
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    Fax                  |    401-782-9867
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    2085R0001X
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    Taxonomy Name        |    Radiation Oncology Physician
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    License Number       |    MD20686
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    License Number State |    RI
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