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NPI Code Detail

MEDICARE: MR. EMMANUEL TUMA FON PN

MEDICARE: MR. EMMANUEL TUMA FON PN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NursePN 125281 IVOH

General Provider Information

NPI Number : 1982986642
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EMMANUEL TUMA FON PN
Provider Business Mailing Address
First Line : 1412 KARAHILL DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-2245
Country : US
Telephone Number : 937-321-6031
Fax Number :
Provider Business Practice Location Address
First Line : 1412 KARAHILL DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-2245
Country : US
Telephone Number : 937-321-6031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2011
Last Update Date : 09/19/2011

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