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General NPI Number Information
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NPI Number | 1952366106
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Entity Type | Organization
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Legal Business Name | SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 100 KENYON AVE
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City | WAKEFIELD
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State | RI
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Zip | 02879-4216
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Country | US
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Telephone | 401-728-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 100 KENYON AVE
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City | WAKEFIELD
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State | RI
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Zip | 02879-4216
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Country | US
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Telephone | 401-728-8000
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Fax |
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Authorized Official
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Title or Position | VP QUALITY & REGULATORY COMPLIANCE
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Name | MS. ELAINE DESMARAIS
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Credential | RN
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Telephone | 401-788-1370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | HOS00114
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License Number State | RI
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