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General NPI Number Information
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NPI Number | 1578581443
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Entity Type | Organization
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Legal Business Name | ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 200 HIGH SERVICE AVE
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-5113
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Country | US
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Telephone | 401-456-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 200 HIGH SERVICE AVE
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-5113
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Country | US
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Telephone | 401-456-3000
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Fax |
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Authorized Official
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Title or Position | SNR. VICE PRESIDENT
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Name | MICHAEL E CONKLIN JR.
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Credential | CFO
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Telephone | 401-456-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | HOS00110
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | HOS00110
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | HOS00110
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License Number State | RI
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | HOS00110
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License Number State | RI
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Taxonomy #5
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | HOS00110
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License Number State | RI
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Taxonomy #6
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | HOS00110
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License Number State | RI
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Taxonomy #7
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | HOS00110
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License Number State | RI
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Taxonomy #8
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | HOS0110
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License Number State | RI
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Taxonomy #9
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | HOS00110
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License Number State | RI
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Taxonomy #10
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | HOS00110
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License Number State | RI
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Taxonomy #11
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | HOS00110
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License Number State | RI
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