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General NPI Number Information
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NPI Number | 1386643294
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Entity Type | Organization
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Legal Business Name | KENT COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 455 TOLL GATE RD
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City | WARWICK
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State | RI
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Zip | 02886-2759
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Country | US
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Telephone | 401-737-7010
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Fax | 401-736-1000
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Provider Business Mailing Address
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Address Line | 455 TOLL GATE RD
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City | WARWICK
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State | RI
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Zip | 02886-2759
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Country | US
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Telephone | 401-737-7010
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Fax | 401-736-1000
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | MR. JAMES MICHAEL BURKE
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Credential |
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Telephone | 401-737-7010
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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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 | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | HOS00125
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License Number State | RI
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