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General NPI Number Information
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NPI Number | 1972851079
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Entity Type | Organization
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Legal Business Name | NARRAGANSETT FOOT & ANKLE CENTER, INC.
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Dates
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Enumeration Date | 08/21/2012
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Last Update Date | 01/29/2013
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Provider Practice Location Address
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Address Line | 360 KINGSTOWN RD SUITE 106
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City | NARRAGANSETT
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State | RI
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Zip | 02882-3239
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Country | US
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Telephone | 401-782-8787
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Fax |
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Provider Business Mailing Address
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Address Line | 360 KINGSTOWN RD STE 106
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City | NARRAGANSETT
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State | RI
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Zip | 02882-3239
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Country | US
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Telephone | 401-782-8787
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Fax | 401-789-2811
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. BROOKE KEELEY
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Credential | DPM
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Telephone | 401-782-8787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | DPM00333
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License Number State | RI
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