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General NPI Number Information
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NPI Number | 1902886757
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Entity Type | Organization
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Legal Business Name | NORTH PROVIDENCE PRIMARY CARE ASSOC INC
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 02/03/2014
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Provider Practice Location Address
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Address Line | 1830 MINERAL SPRING AVE
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-3864
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Country | US
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Telephone | 401-351-1900
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Fax | 401-270-3080
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Provider Business Mailing Address
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Address Line | 1830 MINERAL SPRING AVE
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-3864
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Country | US
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Telephone | 401-351-1900
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Fax | 401-270-3080
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY G FARINA JR.
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Credential | MD
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Telephone | 401-351-1900
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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 | RI 8466
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License Number State | RI
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