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General NPI Number Information
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NPI Number | 1023168788
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Entity Type | Individual
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Provider Name | MARY E TOMBES RN, MN
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Gender | Female
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 401 COLLEGE ST VCU MASSEY CANCER CENTER, ROOM G-125
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City | RICHMOND
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State | VA
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Zip | 23298-5017
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Country | US
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Telephone | 804-628-1357
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Fax | 804-827-2026
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Provider Business Mailing Address
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Address Line | 1810 LOGAN ST
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City | RICHMOND
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State | VA
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Zip | 23235-4248
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Country | US
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Telephone | 804-628-1357
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Fax | 804-827-2026
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | 0001136754
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024169589
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 364SX0200X
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Taxonomy Name | Oncology Clinical Nurse Specialist
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License Number | 0015000726
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License Number State | VA
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