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General NPI Number Information
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NPI Number | 1598365736
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Entity Type | Individual
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Provider Name | THOMAS ALBERT RPH
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Gender | Male
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 25101 CHAGRIN BLVD STE 100
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City | BEACHWOOD
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State | OH
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Zip | 44122-5694
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Country | US
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Telephone | 216-245-4468
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Fax | 216-685-4671
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Provider Business Mailing Address
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Address Line | 128 SUMMER LN
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City | MC DONALD
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State | PA
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Zip | 15057-3069
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Country | US
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Telephone | 216-534-2604
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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 | 03316900
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP458278
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License Number State | PA
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