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General NPI Number Information
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NPI Number | 1548393408
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Entity Type | Organization
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Legal Business Name | MARIA M. O'TOOLE, MD, LLC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 1524 ATWOOD AVE SUITE LL6
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City | JOHNSTON
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State | RI
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Zip | 02919-3228
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Country | US
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Telephone | 401-751-3330
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Fax | 401-274-1253
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Provider Business Mailing Address
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Address Line | 1524 ATWOOD AVE SUITE LL6
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City | JOHNSTON
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State | RI
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Zip | 02919-3228
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Country | US
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Telephone | 401-751-3330
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Fax | 401-274-1253
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIA MICHELLE O'TOOLE
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Credential | MD
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Telephone | 401-751-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD06049
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License Number State | RI
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