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General NPI Number Information
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NPI Number | 1881929586
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Entity Type | Organization
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Legal Business Name | WOONSOCKET URGENT CARE, PC
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | 1210 BOSTON PROVIDENCE TPKE
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City | NORWOOD
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State | MA
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Zip | 02062-5061
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Country | US
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Telephone | 401-766-2700
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Fax | 401-766-2770
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Provider Business Mailing Address
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Address Line | 25 JOHN A CUMMINGS WAY
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City | WOONSOCKET
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State | RI
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Zip | 02895-3224
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Country | US
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Telephone | 401-766-2700
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Fax | 401-766-2770
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | PAUL VALLERA
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Credential | P.A.
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Telephone | 401-766-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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