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General NPI Number Information
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NPI Number | 1871891010
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Entity Type | Individual
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Provider Name | THOMAS PASQUARIELLO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/12/2011
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 3513 S MEADE PL NW
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City | WILSON
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State | NC
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Zip | 27896-9611
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Country | US
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Telephone | 919-426-1834
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Fax |
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Provider Business Mailing Address
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Address Line | 1326 WARD BLVD
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City | WILSON
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State | NC
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Zip | 27893-4665
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Country | US
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Telephone | 919-426-1834
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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 | 19708
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS47308
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12199
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License Number State | SC
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