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General NPI Number Information
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NPI Number | 1033492426
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Entity Type | Individual
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Provider Name | MR. DONATO TRAMONTOZZI
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Gender | Male
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Dates
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Enumeration Date | 09/22/2011
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 1770 DEER PARK AVE
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City | DEER PARK
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State | NY
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Zip | 11729-5203
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Country | US
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Telephone | 631-667-7023
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Fax |
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Provider Business Mailing Address
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Address Line | 116 CHICKEN VALLEY RD
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City | GLEN HEAD
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State | NY
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Zip | 11545-2105
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Country | US
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Telephone | 516-759-5219
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | I043814-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS 29634
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License Number State | FL
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