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General NPI Number Information
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NPI Number | 1689658791
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Entity Type | Organization
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Legal Business Name | ROGER WILLIAMS HOSPITAL
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 825 CHALKSTONE AVE
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City | PROVIDENCE
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State | RI
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Zip | 02908-4728
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Country | US
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Telephone | 401-456-2000
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Fax | 401-456-6718
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Provider Business Mailing Address
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Address Line | 825 CHALKSTONE AVE
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City | PROVIDENCE
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State | RI
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Zip | 02908-4728
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Country | US
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Telephone | 401-456-2000
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Fax | 401-456-6718
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Authorized Official
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Title or Position | CEO OF FINANCE
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Name | MS. ADDIE KANE
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Credential |
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Telephone | 401-456-2402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | HOS00108
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License Number State | RI
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