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General NPI Number Information
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NPI Number | 1306896311
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Entity Type | Organization
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Legal Business Name | RHODE ISLAND REHABILITATION INSTITUTE P.C,
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 721 RESERVOIR AVE
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City | CRANSTON
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State | RI
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Zip | 02910-4430
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Country | US
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Telephone | 401-946-4250
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Fax | 401-942-3960
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Provider Business Mailing Address
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Address Line | 721 RESERVOIR AVE
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City | CRANSTON
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State | RI
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Zip | 02910-4430
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Country | US
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Telephone | 401-946-4250
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Fax | 401-942-3960
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. HENRY SISUN
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Credential | MSPT
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Telephone | 401-946-4250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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