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General NPI Number Information
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NPI Number | 1164855391
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Entity Type | Organization
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Legal Business Name | TOM TOOMEY MD PLLC
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Dates
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Enumeration Date | 08/12/2013
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Last Update Date | 09/30/2013
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Provider Practice Location Address
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Address Line | 1323 S 27TH ST SUITE 300
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City | NEDERLAND
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State | TX
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Zip | 77627-6294
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Country | US
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Telephone | 409-727-1180
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Fax |
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Provider Business Mailing Address
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Address Line | 1323 S 27TH ST SUITE 300
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City | NEDERLAND
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State | TX
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Zip | 77627-6294
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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 | OWNER
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Name | THOMAS TOOMEY
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Credential | MD
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Telephone | 409-727-1180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | H1712
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License Number State | TX
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