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General NPI Number Information
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NPI Number | 1285791640
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Entity Type | Organization
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Legal Business Name | KENT CARDIOLOGY ASSOC INC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 09/18/2013
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Provider Practice Location Address
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Address Line | 390 TOLL GATE RD SUITE 202
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City | WARWICK
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State | RI
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Zip | 02886-4326
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Country | US
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Telephone | 401-739-7210
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Fax | 401-738-6999
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Provider Business Mailing Address
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Address Line | 390 TOLL GATE RD #202
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City | WARWICK
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State | RI
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Zip | 02886
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Country | US
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Telephone | 401-739-7210
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Fax | 401-738-6999
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDWARD S THOMAS
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Credential | MD
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Telephone | 401-739-7210
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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 | MD07326
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License Number State | RI
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