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General NPI Number Information
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NPI Number | 1841244704
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Entity Type | Organization
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Legal Business Name | ANGELO FRIELLO INC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 2 E MAIN ST
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City | JOHNSTOWN
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State | NY
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Zip | 12095-2623
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Country | US
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Telephone | 518-762-8319
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Fax | 518-762-5272
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Provider Business Mailing Address
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Address Line | 2 E MAIN ST
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City | JOHNSTOWN
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State | NY
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Zip | 12095-2623
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Country | US
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Telephone | 518-762-8319
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Fax | 518-762-5272
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS MICHAEL FRIELLO
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Credential |
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Telephone | 518-762-8319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 016393
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License Number State | NY
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