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General NPI Number Information
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NPI Number | 1265729578
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Entity Type | Organization
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Legal Business Name | RHODE ISLAND INTERNAL MEDICINE ASSOCIATES LLC
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Dates
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Enumeration Date | 07/07/2011
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Last Update Date | 07/07/2011
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Provider Practice Location Address
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Address Line | 214 HIGH SERVICE AVE
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-5115
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Country | US
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Telephone | 401-353-7370
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Fax | 401-353-4385
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Provider Business Mailing Address
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Address Line | 214 HIGH SERVICE AVE
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-5115
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Country | US
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Telephone | 401-353-7370
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Fax | 401-353-4385
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. LINDA JANE HANNA-TRAD
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Credential | MD
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Telephone | 401-353-7370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD9017
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License Number State | RI
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