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General NPI Number Information
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NPI Number | 1396032595
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Entity Type | Organization
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Legal Business Name | DAK FAMILY MEDICAL LLC
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Dates
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Enumeration Date | 07/08/2011
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 87 SANDY BOTTOM ROAD
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City | COVENTRY
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State | RI
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Zip | 02816
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Country | US
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Telephone | 401-825-7445
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Fax |
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Provider Business Mailing Address
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Address Line | 87 SANDY BOTTOM ROAD
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City | COVENTRY
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State | RI
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Zip | 02816
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEBRA KARINSKI
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Credential | N.P
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Telephone | 401-825-7445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NPP26116
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License Number State | RI
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