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General NPI Number Information
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NPI Number | 1245681626
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Entity Type | Organization
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Legal Business Name | AQUIDNECK PEDIATRICS LLC
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1272 W MAIN RD
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City | MIDDLETOWN
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State | RI
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Zip | 02842-6405
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Country | US
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Telephone | 401-847-2290
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Fax | 401-849-8446
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Provider Business Mailing Address
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Address Line | 50 MEMORIAL BLVD
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City | NEWPORT
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State | RI
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Zip | 02840-3636
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. ANTHONY AMAIO
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Credential |
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Telephone | 401-847-2290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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