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General NPI Number Information
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NPI Number | 1720202716
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Entity Type | Organization
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Legal Business Name | ROGER J FERLAND, M.D., P.C.
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 695 EDDY ST 22
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City | PROVIDENCE
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State | RI
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Zip | 02903-4941
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Country | US
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Telephone | 401-331-0669
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Fax |
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Provider Business Mailing Address
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Address Line | 695 EDDY ST
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City | PROVIDENCE
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State | RI
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Zip | 02903-4941
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Country | US
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Telephone | 401-331-0669
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | SANDY SMITH
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Credential |
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Telephone | 401-331-0669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
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License Number | RI6030
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License Number State | RI
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