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General NPI Number Information
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NPI Number | 1548046402
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Entity Type | Organization
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Legal Business Name | VMD PRIMARY PROVIDERS OF RHODE ISLAND PC
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 106 NATE WHIPPLE HWY STE 101
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City | CUMBERLAND
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State | RI
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Zip | 02864-1403
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Country | US
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Telephone | 401-658-2020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30034
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City | BELFAST
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State | ME
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Zip | 04915-2052
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP REV CYCLE MANAGEMENT
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Name | ROBERT RODGERS
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Credential |
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Telephone | 412-206-1110
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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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