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General NPI Number Information
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NPI Number | 1710846639
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Entity Type | Organization
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Legal Business Name | REGENMED RI LLC
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 400 BALD HILL RD STE 508
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City | WARWICK
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State | RI
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Zip | 02886-1692
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Country | US
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Telephone | 401-409-2607
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Fax | 413-305-1867
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Provider Business Mailing Address
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Address Line | 10 WHITTIER RD
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City | WELLESLEY
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State | MA
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Zip | 02481-5236
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Country | US
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Telephone | 917-363-9582
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Fax | 413-305-1867
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JUSTIN GARZONE
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Credential | DO
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Telephone | 862-432-2967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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