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General NPI Number Information
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NPI Number | 1962979971
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Entity Type | Individual
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Provider Name | JAMES ANTHONY PAONE
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Gender | Male
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Dates
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Enumeration Date | 10/29/2018
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Last Update Date | 10/29/2018
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Provider Practice Location Address
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Address Line | RITE AID PHARMACY DISTRICT OFFICE 629 ALPHA DRIVE
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City | PITTSBURGH
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State | PA
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Zip | 15238
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Country | US
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Telephone | 412-967-8758
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Fax |
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Provider Business Mailing Address
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Address Line | 117 WISHART DR
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City | BEAVER
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State | PA
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Zip | 15009-9526
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Country | US
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Telephone | 412-417-8744
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Fax | 878-313-3123
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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 | 03337741
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License Number State | OH
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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 | RP030195L
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License Number State | PA
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