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General NPI Number Information
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NPI Number | 1891716882
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Entity Type | Organization
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Legal Business Name | SAINT JOSEPH'S RADIOLOGY ASSOCIATES, INC.
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 HIGH SERVICE AVE RADIOLOGY DEPARTMENT
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-5113
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Country | US
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Telephone | 401-837-2388
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Fax | 401-456-4043
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Provider Business Mailing Address
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Address Line | 21 PEACE ST SUITE 251 EAST
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City | PROVIDENCE
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State | RI
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Zip | 02907-1510
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Country | US
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Telephone | 401-837-2388
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Fax | 401-456-4043
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN WEISBLATT
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Credential | MD
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Telephone | 401-837-2388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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