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General NPI Number Information
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NPI Number | 1215914015
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Entity Type | Organization
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Legal Business Name | VITAL CARE OF RHODE ISLAND, INC.
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1525 LOUISQUISSET PIKE BUILDING A SUITE 205
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City | LINCOLN
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State | RI
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Zip | 02865-4503
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Country | US
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Telephone | 401-726-7744
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Fax | 401-726-7774
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Provider Business Mailing Address
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Address Line | 1525 LOUISQUISSET PIKE BUILDING A SUITE 205
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City | LINCOLN
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State | RI
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Zip | 02865-4503
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Country | US
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Telephone | 401-726-7744
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Fax | 401-726-7774
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Authorized Official
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Title or Position | PRESIDENT / ADMINISTRATOR
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Name | MS. KIM MARIE GILBERT
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Credential | OTR / L
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Telephone | 401-726-7744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HNC00296
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License Number State | RI
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