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General NPI Number Information
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NPI Number | 1639272081
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Entity Type | Individual
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Provider Name | ROBERT ALAN FUOSS RPH
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Gender | Male
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | JAMES E VANZANDT VA MEDICAL CENTER PLEASANT VALLEY BLVD
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City | ALTOONA
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State | PA
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Zip | 16602
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Country | US
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Telephone | 814-943-8164
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Fax |
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Provider Business Mailing Address
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Address Line | RR 5 BOX 127D
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City | TYRONE
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State | PA
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Zip | 16686-9739
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Country | US
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Telephone | 814-686-1899
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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 | RP028969L
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License Number State | PA
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