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General NPI Number Information
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NPI Number | 1649343989
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Entity Type | Individual
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Provider Name | WILLIAM ALTON TOLLE RPH
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Gender | Male
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 11826 GALLIA PIKE RD SUITE C
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City | WHEELERSBURG
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State | OH
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Zip | 45694-9119
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Country | US
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Telephone | 740-574-9953
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Fax | 740-574-1939
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Provider Business Mailing Address
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Address Line | 146 RIDGELAND RD
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City | MINFORD
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State | OH
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Zip | 45653-8536
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Country | US
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Telephone | 740-820-5888
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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 | 03-3-20184
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License Number State | OH
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