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General NPI Number Information
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NPI Number | 1720869191
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Entity Type | Organization
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Legal Business Name | TAMARISK INC
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Dates
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Enumeration Date | 10/11/2023
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 3 SHALOM DR
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City | WARWICK
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State | RI
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Zip | 02886-1695
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Country | US
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Telephone | 401-732-0037
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Fax | 401-927-0056
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Provider Business Mailing Address
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Address Line | 3 SHALOM DR
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City | WARWICK
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State | RI
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Zip | 02886-1695
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Country | US
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Telephone | 401-732-0037
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Fax | 401-921-0056
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | HELAYNE G GOLDSTEIN-RAMIREZ
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Credential |
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Telephone | 401-732-0037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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