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General NPI Number Information
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NPI Number | 1447439823
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Entity Type | Individual
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Provider Name | TODD EDWARD MARTINO PHARMD./RPH.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 150 NIAGARA ST
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City | TONAWANDA
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State | NY
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Zip | 14150-1001
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Country | US
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Telephone | 716-693-6400
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Fax | 176-693-5048
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Provider Business Mailing Address
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Address Line | 3854 WILDWING DR
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-1384
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Country | US
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Telephone | 716-807-2394
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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 | 048283
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License Number State | NY
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