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General NPI Number Information
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NPI Number | 1639377419
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Entity Type | Individual
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Provider Name | COLLEEN JOYCE POMARO CNP
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Gender | Female
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 3921 EAST MARKET ST NORTHMAR III PAUL M ROSMAN DO
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City | WARREN
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State | OH
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Zip | 44484
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Country | US
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Telephone | 330-856-3104
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Fax | 330-856-3056
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Provider Business Mailing Address
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Address Line | 15 WILDA AVENUE
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-2921
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP07679
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN123065
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License Number State | OH
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