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General NPI Number Information
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NPI Number | 1427255371
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Entity Type | Individual
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Provider Name | MEG MARIE O'ROURKE R.D.
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Gender | Female
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 06/19/2009
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Provider Practice Location Address
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Address Line | 186 RHODE ISLAND AVE
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City | FALL RIVER
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State | MA
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Zip | 02724-3516
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Country | US
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Telephone | 401-245-8784
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Fax | 401-245-2009
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Provider Business Mailing Address
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Address Line | 38 ARLINGTON AVE
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City | WARREN
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State | RI
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Zip | 02885-1906
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Country | US
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Telephone | 860-985-7049
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Fax | 401-245-2009
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 2100
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 00587
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License Number State | RI
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