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General NPI Number Information
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NPI Number | 1174614630
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Entity Type | Individual
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Provider Name | MICHAEL L TUMEN D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 09/22/2013
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Provider Practice Location Address
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Address Line | 4333 MERRICK RD
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City | MASSAPEQUA
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State | NY
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Zip | 11758-6001
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Country | US
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Telephone | 516-541-1591
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Fax | 516-541-1628
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Provider Business Mailing Address
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Address Line | 4333 MERRICK RD
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City | MASSAPEQUA
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State | NY
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Zip | 11758-6001
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Country | US
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Telephone | 516-541-1591
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N002997
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License Number State | NY
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