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NPI 1851523542

NPI 1851523542 : HOPE JACKSON FIRE : HOPE, RI

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General NPI Number Information
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    NPI Number           |    1851523542
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOPE JACKSON FIRE 
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Dates
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    Enumeration Date     |    08/14/2009
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    Last Update Date     |    11/09/2017
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Provider Practice Location Address
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    Address Line         |    117 MAIN ST 
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    City                 |    HOPE
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    State                |    RI
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    Zip                  |    02831
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    Country              |    US
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    Telephone            |    401-828-6460
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    Fax                  |    401-823-5368
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Provider Business Mailing Address
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    Address Line         |    PO BOX 20104 
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    City                 |    CRANSTON
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    State                |    RI
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    Zip                  |    02920-0927
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    Country              |    US
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    Telephone            |    401-572-3120
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    Fax                  |    401-572-3351
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Authorized Official
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    Title or Position    |    CHIEF OF DEPARTMENT
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    Name                 |     JOHN ANDERSON ROBINSON 
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    Credential           |    NRSMTP
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    Telephone            |    401-828-6460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    341600000X
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    Taxonomy Name        |    Ambulance
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    License Number       |    77
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    License Number State |    RI
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