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General NPI Number Information
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NPI Number | 1548577596
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Entity Type | Individual
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Provider Name | THOMAS JOSEPH CHIRICHELLA III M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 1044 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1006
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Country | US
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Telephone | 330-480-6547
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Fax | 330-480-5994
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Provider Business Mailing Address
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Address Line | 1044 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1006
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Country | US
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Telephone | 330-480-6547
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Fax | 330-480-5994
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35120704
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD454338
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | 35120704
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License Number State | OH
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