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General NPI Number Information
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NPI Number | 1235167081
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Entity Type | Organization
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Legal Business Name | TUOMEY MEDICAL PROFESSIONALS
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 12/26/2007
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Provider Practice Location Address
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Address Line | 129 N WASHINGTON ST
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City | SUMTER
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State | SC
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Zip | 29150-4949
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Country | US
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Telephone | 803-778-5248
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2517
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City | SUMTER
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State | SC
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Zip | 29151-2517
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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 | COO/ADMINIISTRATIVE DIRECTOR
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Name | MRS. CATHERINE ELIZABETH LUEBBERT
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Credential |
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Telephone | 803-774-5290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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