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General NPI Number Information
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NPI Number | 1790105690
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Entity Type | Organization
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Legal Business Name | ERICA R. TSAI, MD, MS, LLC
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Dates
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Enumeration Date | 04/18/2014
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Last Update Date | 04/18/2014
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Provider Practice Location Address
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Address Line | 325 ANGELL ST
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City | PROVIDENCE
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State | RI
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Zip | 02906-3245
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Country | US
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Telephone | 401-523-6418
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Fax | 401-272-3221
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Provider Business Mailing Address
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Address Line | 325 ANGELL ST
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City | PROVIDENCE
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State | RI
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Zip | 02906-3245
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Country | US
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Telephone | 401-523-6418
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Fax | 401-272-3221
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ERICA ROSENBERG TSAI
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Credential | M.D.
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Telephone | 401-523-6418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 13985
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License Number State | RI
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