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General NPI Number Information
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NPI Number | 1679612477
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Entity Type | Organization
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Legal Business Name | CITY OF PAWTUCKET RHODE ISLAND
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 137 ROOSEVELT AVE
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City | PAWTUCKET
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State | RI
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Zip | 02860-2129
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Country | US
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Telephone | 401-728-0500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 547
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City | WHEELING
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State | IL
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Zip | 60090-0547
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Country | US
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Telephone | 734-224-4474
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Fax | 336-791-0196
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Authorized Official
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Title or Position | TREASURER
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Name | IRINA GORMAN
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Credential |
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Telephone | 401-728-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | EMS00028
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License Number State | RI
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