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General NPI Number Information
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NPI Number | 1770761660
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Entity Type | Organization
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Legal Business Name | GIULIO G DIAMANTE MD INC
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 1277 HARTFORD AVE
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City | JOHNSTON
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State | RI
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Zip | 02919-7121
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Country | US
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Telephone | 401-521-3606
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Fax | 401-453-3288
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Provider Business Mailing Address
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Address Line | 1277 HARTFORD AVE
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City | JOHNSTON
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State | RI
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Zip | 02919-7121
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Country | US
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Telephone | 401-521-3606
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Fax | 401-453-3288
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | DR. GIULIO GERARDO DIAMANTE
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Credential | MD
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Telephone | 401-521-3606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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