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General NPI Number Information
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NPI Number | 1245625045
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Entity Type | Individual
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Provider Name | LINCOLN TIRPAECK DO
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Gender | Male
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 3461 S COUNTY TRL
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City | EAST GREENWICH
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State | RI
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Zip | 02818-1465
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Country | US
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Telephone | 401-471-6440
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Fax | 401-889-5082
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Provider Business Mailing Address
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Address Line | 68 CUMBERLAND ST STE 103
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City | WOONSOCKET
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State | RI
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Zip | 02895-3323
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Country | US
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Telephone | 413-794-0000
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Fax |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | DO01074
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License Number State | RI
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