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General NPI Number Information
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NPI Number | 1346019569
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Entity Type | Organization
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Legal Business Name | FOLLOWING SEAS HEALTH
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 02/03/2024
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Provider Practice Location Address
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Address Line | 60 VALLEY ST STE 104
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City | PROVIDENCE
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State | RI
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Zip | 02909-7418
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Country | US
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Telephone | 401-618-2168
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Fax | 491-340-1628
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Provider Business Mailing Address
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Address Line | 371 PUTNAM PIKE STE 230
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City | SMITHFIELD
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State | RI
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Zip | 02917-2445
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Country | US
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Telephone | 401-618-2168
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Fax | 401-340-1628
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH DESROSIERS II
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Credential | PA-C
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Telephone | 401-932-3518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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