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General NPI Number Information
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NPI Number | 1891963286
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Entity Type | Individual
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Provider Name | MAUREEN ALICE TUMOLO M.D
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Gender | Female
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 07/27/2025
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Provider Practice Location Address
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Address Line | 305 COMMERCE AVE STE 101
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-2971
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Country | US
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Telephone | 215-499-2686
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 OTTER CT
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-4718
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Country | US
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Telephone |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101249699
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 201101905
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 51543
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2011-01905
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License Number State | NC
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