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General NPI Number Information
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NPI Number | 1619224789
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Entity Type | Organization
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Legal Business Name | RHODE ISLAND LIMB CO INC
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 11/14/2012
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Provider Practice Location Address
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Address Line | 59 PROSPECT ST SUITE B
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City | PAWTUCKET
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State | RI
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Zip | 02860-4482
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Country | US
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Telephone | 401-475-3501
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Fax | 401-475-3516
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Provider Business Mailing Address
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Address Line | 1559 ELMWOOD AVE
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City | CRANSTON
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State | RI
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Zip | 02910-3845
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Country | US
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Telephone | 401-941-6230
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Fax | 401-941-6339
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. JONATHAN R TEOLI
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Credential |
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Telephone | 401-941-6230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | CP00009
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License Number State | RI
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