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General NPI Number Information
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NPI Number | 1649353426
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Entity Type | Organization
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Legal Business Name | TALAMO FAMILY PRACTICE GROUP, PC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 555 SECOND AVENUE SUITE D201
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City | COLLEGEVILLE
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State | PA
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Zip | 19426
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Country | US
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Telephone | 610-831-2280
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Fax | 610-489-1953
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Provider Business Mailing Address
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Address Line | 555 SECOND AVENUE SUITE D201
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City | COLLEGEVILLE
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State | PA
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Zip | 19426
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Country | US
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Telephone | 610-831-2280
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Fax | 610-489-1953
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. ROBERT J TALAMO
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Credential | MD
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Telephone | 610-831-2280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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