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General NPI Number Information
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NPI Number | 1528403847
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Entity Type | Organization
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Legal Business Name | TOLLGATE OBSTETRICS AND GYNECOLOGY MIDWIFERY SERVICES INC
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 390 TOLL GATE RD SUITE 101
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City | WARWICK
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State | RI
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Zip | 02886-4488
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Country | US
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Telephone | 401-737-2280
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Fax | 401-732-4638
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Provider Business Mailing Address
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Address Line | 390 TOLL GATE RD SUITE 101
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City | WARWICK
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State | RI
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Zip | 02886-4488
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Country | US
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Telephone | 401-737-2280
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Fax | 401-732-4638
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Authorized Official
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Title or Position | OWNER
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Name | MS. CHRISTINA ERINAKES
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Credential | CNM
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Telephone | 401-737-2280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 1093019341
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License Number State | RI
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