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General NPI Number Information
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NPI Number | 1235314691
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Entity Type | Organization
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Legal Business Name | USHA STOKOE MD INC
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Dates
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Enumeration Date | 01/04/2008
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 200 TOLL GATE RD # 204
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City | WARWICK
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State | RI
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Zip | 02886-4440
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Country | US
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Telephone | 401-732-8081
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Fax | 401-732-8098
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Provider Business Mailing Address
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Address Line | 200 TOLL GATE RD SUITE 204
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City | WARWICK
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State | RI
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Zip | 02886-4440
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Country | US
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Telephone | 401-732-8081
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Fax | 401-732-8098
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Authorized Official
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Title or Position | PRESIDENT
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Name | USHA STOKOE
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Credential | MD
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Telephone | 401-732-8081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 8949
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License Number State | RI
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