Provider Information for 1932297769
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DAWN M WHITEHEAD II
Sex: Female
NPI: 1932297769
Last Updated: 2009-04-03
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1932297769 | ||||||||||||||||
| Enumeration Date | 2006-10-10 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 39 MATTESON AVE WEST WARWICK, RI 02893-5137 United States Phone: 401-864-0842 | Fax: | ||||||||||||||||
| Primary Practice Address | 55 JOHN A CUMMINGS WAY WOONSOCKET, RI 02895-3247 United States Phone: 401-235-7000 | Fax: | ||||||||||||||||
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