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General NPI Number Information
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NPI Number | 1255537759
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Entity Type | Organization
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Legal Business Name | RHODE ISLAND EAR, NOSE & THROAT PHYSICIANS, INC.
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2138 MENDON RD SUITE 204
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City | CUMBERLAND
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State | RI
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Zip | 02864-3834
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Country | US
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Telephone | 401-333-8664
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Fax | 401-333-8669
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Provider Business Mailing Address
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Address Line | 2138 MENDON RD SUITE 204
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City | CUMBERLAND
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State | RI
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Zip | 02864-3834
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Country | US
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Telephone | 401-333-8664
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Fax | 401-333-8669
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. WILLIAM PARISEAU
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Credential |
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Telephone | 401-480-0351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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