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General NPI Number Information
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NPI Number | 1508034836
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Entity Type | Individual
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Provider Name | MICHELLE ANNE TONCAR LMT
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Gender | Female
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 320 CENTER ST STE D
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City | CHARDON
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State | OH
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Zip | 44024-1165
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Country | US
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Telephone | 440-319-5217
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Fax |
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Provider Business Mailing Address
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Address Line | 10692 KILE RD
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City | CHARDON
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State | OH
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Zip | 44024-9584
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Country | US
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Telephone | 440-319-5217
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 14189
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License Number State | OH
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