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General NPI Number Information
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NPI Number | 1346757200
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Entity Type | Individual
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Provider Name | VITO ANTHONY SCHIAVONE
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Gender | Male
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Dates
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Enumeration Date | 01/02/2018
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Last Update Date | 01/02/2018
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Provider Practice Location Address
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Address Line | 96 BALTIMORE ST
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1836
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Country | US
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Telephone | 908-454-4532
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Fax |
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Provider Business Mailing Address
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Address Line | 38 ARELAND DR
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City | BANGOR
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State | PA
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Zip | 18013-9539
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Country | US
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Telephone | 484-695-8422
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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 | RP042313L
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License Number State | PA
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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 | 28RI03898600
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License Number State | NJ
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