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General NPI Number Information
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NPI Number | 1972636850
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Entity Type | Organization
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Legal Business Name | BARRINGTON PEDIATRIC ASSOCIATES, INC.
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 334 COUNTY RD STE D
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City | BARRINGTON
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State | RI
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Zip | 02806-2430
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Country | US
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Telephone | 401-247-2288
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Fax | 401-247-2960
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Provider Business Mailing Address
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Address Line | 334 COUNTY RD STE D
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City | BARRINGTON
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State | RI
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Zip | 02806-2430
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Country | US
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Telephone | 401-247-2288
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Fax | 401-247-2960
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | VICTOR D. LERISH
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Credential | M.D.
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Telephone | 401-247-1640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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