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General NPI Number Information
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NPI Number | 1124367172
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Entity Type | Individual
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Provider Name | ROBERT VINCENT TARNOW A.P.
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Gender | Male
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 11/13/2017
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Provider Practice Location Address
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Address Line | 172 MAIN ST
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City | MASSENA
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State | NY
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Zip | 13662-1905
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Country | US
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Telephone | 315-769-7610
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Fax | 315-769-7610
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Provider Business Mailing Address
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Address Line | 172 MAIN ST
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City | MASSENA
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State | NY
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Zip | 13662-1905
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Country | US
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Telephone | 315-769-7610
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Fax | 315-769-7610
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP 3232
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 005372-1
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License Number State | NY
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