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General NPI Number Information
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NPI Number | 1841347556
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Entity Type | Organization
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Legal Business Name | JAMES F DEVANNEY D.M.D.
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 362 MAIN AVE
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City | WARWICK
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State | RI
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Zip | 02886-3420
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Country | US
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Telephone | 401-737-4184
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Fax |
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Provider Business Mailing Address
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Address Line | 362 MAIN AVE
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City | WARWICK
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State | RI
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Zip | 02886-3420
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Country | US
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Telephone | 401-737-4184
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES F DEVANNEY
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Credential | D.M.D.
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Telephone | 401-737-4184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 02413
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License Number State | RI
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