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General NPI Number Information
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NPI Number | 1972016608
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Entity Type | Organization
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Legal Business Name | CONTINUUM PALLIATIVE RESOURCES OF RHODE ISLAND PC
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 1350 DIVISION RD STE 205
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City | WEST WARWICK
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State | RI
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Zip | 02893-7554
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Country | US
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Telephone | 401-321-8101
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Fax | 401-244-7111
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Provider Business Mailing Address
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Address Line | 500 FAULCONER DR STE 200
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-5089
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Country | US
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Telephone | 434-977-9711
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Fax | 434-235-4142
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | JESSE R MOORE
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Credential |
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Telephone | 857-331-6271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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