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General NPI Number Information
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NPI Number | 1477858413
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Entity Type | Organization
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Legal Business Name | A TO Z PRIMARY CARE, PC
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Dates
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Enumeration Date | 01/24/2011
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 176 TOLLGATE ROAD SUITE 203
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City | WARWICK
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State | RI
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Zip | 02886
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Country | US
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Telephone | 401-921-5855
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Fax | 401-921-6863
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Provider Business Mailing Address
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Address Line | 176 TOLLGATE ROAD SUITE 203
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City | WARWICK
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State | RI
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Zip | 02886
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Country | US
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Telephone | 401-921-5855
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Fax | 401-921-6863
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHLEEN PARKER
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Credential | RNP
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Telephone | 401-921-5855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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