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General NPI Number Information
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NPI Number | 1659636793
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Entity Type | Individual
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Provider Name | JOSETTE A TOMETY-FOTZEU PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/04/2012
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 630 JAMIE CIR
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1976
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Country | US
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Telephone | 484-522-8630
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Fax |
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Provider Business Mailing Address
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Address Line | 630 JAMIE CIR
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1976
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Country | US
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Telephone | 240-603-9098
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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 | 18629
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | RP442553
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 18629
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP442553
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License Number State | PA
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