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General NPI Number Information
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NPI Number | 1285851543
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Entity Type | Individual
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Provider Name | JOE YAMMINE
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Gender | Male
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 111 BREWSTER ST MHRI - DIVISION OF CARDIOLOGY
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City | PAWTUCKET
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State | RI
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Zip | 02860-4400
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Country | US
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Telephone | 401-729-2478
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Fax | 401-729-3050
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Provider Business Mailing Address
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Address Line | 111 BREWSTER ST MHRI - DIVISION OF CARDIOLOGY
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City | PAWTUCKET
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State | RI
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Zip | 02860-4400
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Country | US
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Telephone | 401-729-2478
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Fax | 401-729-3050
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | LP00961
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License Number State | RI
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