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General NPI Number Information
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NPI Number | 1316944127
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Entity Type | Individual
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Provider Name | ARLET G. KURKCHUBASCHE MD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 2 DUDLEY STREET SUITE 190
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City | PROVIDENCE
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State | RI
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Zip | 02905
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Country | US
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Telephone | 401-421-1939
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Fax | 401-868-2319
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Provider Business Mailing Address
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Address Line | PO BOX 16149
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City | RUMFORD
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State | RI
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Zip | 02916-0697
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Country | US
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Telephone | 401-854-2428
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Fax | 401-435-7069
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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 | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | MD9613
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | RI9613
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License Number State | RI
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