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General NPI Number Information
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NPI Number | 1750413753
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Entity Type | Organization
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Legal Business Name | DRS DUBOIS & DUBOIS LTD
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 01/13/2010
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Provider Practice Location Address
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Address Line | 501 GREAT ROAD UNIT 102
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City | NORTH SMITHFIELD
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State | RI
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Zip | 02896
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Country | US
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Telephone | 401-766-6700
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Fax | 401-765-7782
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Provider Business Mailing Address
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Address Line | 501 GREAT ROAD UNIT 102
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City | NORTH SMITHFIELD
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State | RI
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Zip | 02896
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Country | US
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Telephone | 401-766-6700
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Fax | 401-765-7782
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID R DUBOIS
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Credential | DO
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Telephone | 401-766-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0308
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0428
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0307
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License Number State | RI
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