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General NPI Number Information
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NPI Number | 1841883857
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Entity Type | Organization
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Legal Business Name | COVID TEST RI
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 400 WARREN AVE STE 2LA
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-3826
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Country | US
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Telephone | 401-484-0428
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Fax | 888-655-0696
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Provider Business Mailing Address
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Address Line | 400 WARREN AVE STE 2LA
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-3826
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Country | US
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Telephone | 401-484-0428
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Fax | 888-655-0696
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Authorized Official
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Title or Position | CEO
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Name | TEMPERANCE TAYLOR
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Credential | FNP-C
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Telephone | 401-484-0428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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