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Organization

STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS

Active
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Organization

STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS

Active
Other names
Department of Health
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOUGLAS A AXELSEN (CFO)
(401) 222-5112
Entity
Organization

Contact information

Practice address
3 CAPITOL HL, ROOM 402, PROVIDENCE, RI 02908-5034
(401) 222-5112
(401) 222-1256
Mailing address
3 CAPITOL HL, ROOM 402, PROVIDENCE, RI 02908-5034
(401) 222-5112
(401) 222-1256

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL

Other

Enumeration date
03/15/2007
Last updated
10/17/2011
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