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General NPI Number Information
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NPI Number | 1225627441
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Entity Type | Organization
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Legal Business Name | TOM SOWASH OD & ASSOCIATES, PC
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 2460 W HAPPY VALLEY RD STE 1163
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City | PHOENIX
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State | AZ
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Zip | 85085-8512
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Country | US
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Telephone | 480-691-4036
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 849764
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City | DALLAS
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State | TX
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Zip | 75284-9764
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Country | US
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Telephone | 800-340-0129
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Fax | 210-524-6587
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Authorized Official
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Title or Position | OWNER
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Name | TOM SOWASH
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Credential | OD
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Telephone | 726-444-4078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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