NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1639584717
PROSPECT CHARTERCARE SJHSRI, LLC
200 HIGH SERVICE AVE
NORTH PROVIDENCE
RI
029045113
1831526201
MALLOZZI
LORI
A
825 CHALKSTONE AVE
PROVIDENCE
RI
029084728
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