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General NPI Number Information
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NPI Number | 1780039966
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Entity Type | Organization
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Legal Business Name | WOONSOCKET URGENT CARE PC
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Dates
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Enumeration Date | 04/26/2016
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 2-4 MERCER RD
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City | NATICK
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State | MA
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Zip | 01760-2415
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Country | US
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Telephone | 508-318-4466
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Fax | 508-647-2789
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Provider Business Mailing Address
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Address Line | 1210 BOSTON PROVIDENCE TPKE
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City | NORWOOD
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State | MA
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Zip | 02062-5061
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Country | US
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Telephone | 781-255-0500
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Fax | 781-255-0400
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Authorized Official
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Title or Position | CEO
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Name | MR. PAUL VALLERA
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Credential | P.A.
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Telephone | 781-255-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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