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General NPI Number Information
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NPI Number | 1992945232
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Entity Type | Individual
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Provider Name | JOHN RANDALL TOMKO PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 02/26/2009
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | DUQUESNE UNIVERSITY 600 FORBES AVENUE
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City | PITTSBURGH
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State | PA
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Zip | 15282-0001
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Country | US
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Telephone | 412-396-5134
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Fax |
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Provider Business Mailing Address
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Address Line | 5812 WATSON RD
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City | HUBBARD
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State | OH
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Zip | 44425-1053
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Country | US
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Telephone | 330-534-8966
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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 | 03-2-15734
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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 | RP034336R
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License Number State | PA
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