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General NPI Number Information
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NPI Number | 1457643777
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Entity Type | Individual
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Provider Name | MR. GINO N FEDERICI
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Gender | Male
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 05/04/2011
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Provider Practice Location Address
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Address Line | 129 COTTAGE AVE
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02911-3529
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Country | US
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Telephone | 401-965-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 35 SUMMER ST
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City | TAUNTON
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State | MA
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Zip | 02780-3469
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Country | US
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Telephone | 508-942-7365
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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