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General NPI Number Information
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NPI Number | 1730400250
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Entity Type | Organization
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Legal Business Name | RHODE ISLAND COMPANION SERVICES LLC
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 06/18/2010
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Provider Practice Location Address
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Address Line | 224 RESERVOIR AVE
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City | PROVIDENCE
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State | RI
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Zip | 02907-3430
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Country | US
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Telephone | 401-663-6008
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Fax |
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Provider Business Mailing Address
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Address Line | 224 RESERVOIR AVE
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City | PROVIDENCE
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State | RI
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Zip | 02907-3430
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Country | US
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Telephone | 401-663-6008
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MS. GRACE G KULIK
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Credential |
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Telephone | 401-663-6008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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