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General NPI Number Information
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NPI Number | 1790774842
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Entity Type | Individual
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Provider Name | LEONARD D TAMBURRO D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 133 WILBUR DR NE
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City | NORTH CANTON
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State | OH
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Zip | 44720-1641
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Country | US
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Telephone | 330-494-6012
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Fax |
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Provider Business Mailing Address
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Address Line | 3515 MASSILLON RD STE 300
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City | UNIONTOWN
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State | OH
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Zip | 44685-7854
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Country | US
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Telephone | 234-271-3353
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Fax | 216-472-2740
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34004173
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License Number State | OH
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