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General NPI Number Information
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NPI Number | 1952840381
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND PREMIER HEALTHCARE
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 262 POPLAR ST
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City | WOONSOCKET
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State | RI
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Zip | 02895-3747
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Country | US
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Telephone | 401-996-5267
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Fax |
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Provider Business Mailing Address
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Address Line | 343 4TH AVE APT 10A
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City | BROOKLYN
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State | NY
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Zip | 11215-2719
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Country | US
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Telephone | 401-996-5267
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARRON S LAMP
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Credential | M.D.
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Telephone | 401-996-5267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | MD15142
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License Number State | RI
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