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General NPI Number Information
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NPI Number | 1740201854
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Entity Type | Individual
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Provider Name | KERI TILMAN MD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 02/18/2015
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Provider Practice Location Address
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Address Line | 11 FRIENDSHIP ST
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City | NEWPORT
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State | RI
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Zip | 02840-2209
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Country | US
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Telephone | 401-845-1593
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Fax | 401-847-0650
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Provider Business Mailing Address
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Address Line | 125 WHIPPLE ST 3RD FLOOR
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City | PROVIDENCE
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State | RI
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Zip | 02908-3258
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Country | US
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Telephone | 401-854-2504
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Fax | 401-427-7795
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD12106
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License Number State | RI
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