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General NPI Number Information
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NPI Number | 1538149026
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Entity Type | Organization
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Legal Business Name | NATE WHIPPLE RADIOLOGY, INC.
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 175 NATE WHIPPLE HWY
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City | CUMBERLAND
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State | RI
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Zip | 02864-1416
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Country | US
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Telephone | 401-658-2440
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Fax |
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Provider Business Mailing Address
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Address Line | 175 NATE WHIPPLE HWY
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City | CUMBERLAND
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State | RI
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Zip | 02864-1416
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Country | US
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Telephone | 401-658-2440
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID GUNASTI
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Credential | MD
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Telephone | 401-333-8090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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