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General NPI Number Information
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NPI Number | 1609272376
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Entity Type | Organization
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Legal Business Name | TODER RHEUMATOLOGY & OSTEOPOROSIS CENTER, P.C.
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Dates
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Enumeration Date | 11/07/2014
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 1524 ATWOOD AVE SUITE 333
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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 | 401-421-6011
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Fax | 401-421-9088
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Provider Business Mailing Address
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Address Line | 1524 ATWOOD AVE SUITE 333
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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 | 401-421-6011
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Fax | 401-421-9088
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | KILEY DRU TODER
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Credential | M.D.
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Telephone | 401-421-6011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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