| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1215257126 | AMASS | TIMOTHY | | | 593 EDDY ST | PROVIDENCE | RI | 029034923 |
| 1073874509 | EGAN | PAMELA | | | 593 EDDY ST | PROVIDENCE | RI | 029034923 |
| 1700179942 | FODERARO | ANDREW | | | 593 EDDY ST | PROVIDENCE | RI | 029034923 |
| 1114245479 | GALLANT | STUART | | | 593 EDDY ST | PROVIDENCE | RI | 029034923 |
| 1215257027 | INGHAM | RANDALL | | | 593 EDDY ST | PROVIDENCE | RI | 029034923 |
| 1548588809 | RINGEL | ALICIA | | | 593 EDDY ST | PROVIDENCE | RI | 029034923 |
| 1992065874 | RODRIGUEZ | JAEL | | | 17 VIRGINIA AVE 107 | PROVIDENCE | RI | 029054406 |
| 1447697594 | RUHLAND | EDWARD | | | 593 EDDY ST | PROVIDENCE | RI | 029034923 |
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