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General NPI Number Information
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NPI Number | 1801900162
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Entity Type | Organization
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Legal Business Name | STERLING SHOES OF WARWICK,INC.
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1730 POST RD
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City | WARWICK
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State | RI
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Zip | 02888-5941
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Country | US
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Telephone | 401-691-3326
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Fax |
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Provider Business Mailing Address
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Address Line | 1730 POST RD
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City | WARWICK
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State | RI
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Zip | 02888-5941
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Country | US
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Telephone | 401-691-3326
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Fax |
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Authorized Official
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Title or Position | PRES.
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Name | MR. MICHAEL D. PEARLMAN
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Credential | CERTIFIED PEDORTHIST
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Telephone | 401-691-3326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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