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General NPI Number Information
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NPI Number | 1821277427
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN PRIMARY CARE MEDICINE, INC.
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 12/20/2011
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Provider Practice Location Address
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Address Line | 857 POST RD
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City | WARWICK
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State | RI
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Zip | 02888-3360
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Country | US
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Telephone | 401-467-3115
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Fax | 401-467-9120
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Provider Business Mailing Address
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Address Line | 857 POST RD
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City | WARWICK
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State | RI
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Zip | 02888-3360
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Country | US
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Telephone | 401-467-3115
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Fax | 401-467-9120
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Authorized Official
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Title or Position | OWNER
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Name | MARTIN J KERZER
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Credential | D.O.
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Telephone | 401-467-3115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD11053
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NPP37217
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NPP37523
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License Number State | RI
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO00303
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License Number State | RI
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