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General NPI Number Information
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NPI Number | 1083999684
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Entity Type | Individual
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Provider Name | TAMMY M RONSTADT CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 5000 INDUSTRIAL BLVD
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City | ALIQUIPPA
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State | PA
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Zip | 15001-4874
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Country | US
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Telephone | 412-749-6739
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Fax | 724-770-7931
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Provider Business Mailing Address
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Address Line | 420 ROUSER RD
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City | MOON TOWNSHIP
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State | PA
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Zip | 15108-3090
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Country | US
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Telephone | 412-749-6739
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Fax | 724-770-7931
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP011567
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License Number State | PA
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