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General NPI Number Information
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NPI Number | 1811168164
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Entity Type | Organization
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Legal Business Name | UROLOGIC SPECIALISTS OF NEW ENGLAND LLC
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 207 QUAKER LN 1ST FLOOR
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City | WEST WARWICK
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State | RI
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Zip | 02893-2179
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Country | US
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Telephone | 401-828-7110
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Fax | 401-827-6364
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Provider Business Mailing Address
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Address Line | 207 QUAKER LN FL 1
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City | WEST WARWICK
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State | RI
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Zip | 02893-2179
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Country | US
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Telephone | 401-828-7110
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Fax | 401-827-6364
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ASHLEY M PERRAS
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Credential |
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Telephone | 401-381-1227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | PHS00004
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License Number State | RI
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