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General NPI Number Information
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NPI Number | 1457635393
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Entity Type | Organization
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Legal Business Name | TRI-TOWN ECONOMIC OPPORTUNITY COMMITTEE
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 1126 HARTFORD AVE
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City | JOHNSTON
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State | RI
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Zip | 02919-7109
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Country | US
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Telephone | 401-351-2750
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Fax |
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Provider Business Mailing Address
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Address Line | 1126 HARTFORD AVE
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City | JOHNSTON
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State | RI
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Zip | 02919-7109
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Country | US
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Telephone | 401-351-2750
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Fax | 401-349-3125
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. JOSEPH R DESANTIS
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Credential |
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Telephone | 401-519-1902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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