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General NPI Number Information
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NPI Number | 1609204064
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Entity Type | Individual
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Provider Name | BRIAN TOMMASINI
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Gender | Male
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Dates
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Enumeration Date | 10/23/2013
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Last Update Date | 10/23/2013
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Provider Practice Location Address
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Address Line | 4800 FRIENDSHIP AVE
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City | PITTSBURGH
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State | PA
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Zip | 15224-1722
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Country | US
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Telephone | 412-578-5238
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 MILLWOOD RD
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City | DERRY
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State | PA
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Zip | 15627-2510
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Country | US
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Telephone |
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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 | RP444755
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License Number State | PA
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