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General NPI Number Information
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NPI Number | 1902126329
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Entity Type | Individual
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Provider Name | MR. WILLIAM CHARLES SOKOLOSKY
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Gender | Male
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 06/08/2010
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Provider Practice Location Address
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Address Line | 823 MAIN ST
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City | HOPE VALLEY
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State | RI
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Zip | 02832-1920
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Country | US
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Telephone | 401-539-2461
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Fax | 401-539-2676
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Provider Business Mailing Address
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Address Line | PO BOX 204
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City | BRADFORD
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State | RI
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Zip | 02808-0204
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Country | US
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Telephone | 401-322-7320
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA00234
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License Number State | RI
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