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General NPI Number Information
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NPI Number | 1538603022
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Entity Type | Individual
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Provider Name | ANGELINA ROSE TOMALLO PHARM D, RPH
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Gender | Female
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 12/19/2016
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Provider Practice Location Address
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Address Line | 105 W AIRPORT HWY
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City | SWANTON
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State | OH
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Zip | 43558-1410
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Country | US
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Telephone | 419-825-1166
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Fax |
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Provider Business Mailing Address
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Address Line | 26800 WOODMONT DR APT 13
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City | PERRYSBURG
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State | OH
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Zip | 43551-7277
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Country | US
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Telephone | 440-220-2762
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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 | 03236549
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License Number State | OH
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