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General NPI Number Information
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NPI Number | 1366265233
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Entity Type | Individual
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Provider Name | ANTHONY JOHN ONOMASTICO I HIS, COHC
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Gender | Male
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 1156 WALNUT BOTTOM RD STE 4
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City | CARLISLE
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State | PA
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Zip | 17015-9130
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Country | US
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Telephone | 717-386-5640
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Fax |
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Provider Business Mailing Address
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Address Line | 1156 WALNUT BOTTOM RD STE 4
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City | CARLISLE
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State | PA
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Zip | 17015-9130
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Country | US
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Telephone | 717-386-5640
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | F03952
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License Number State | PA
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