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General NPI Number Information
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NPI Number | 1275502981
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Entity Type | Individual
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Provider Name | FADY E TOHME MD
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Gender | Male
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 13620 CRAYTON BOULEVARD
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City | HAGERSTOWN
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State | MD
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Zip | 21742
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Country | US
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Telephone | 301-791-7900
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Fax | 301-791-3686
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Provider Business Mailing Address
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Address Line | PO BOX 412047
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City | BOSTON
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State | MA
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Zip | 02241-2047
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Country | US
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Telephone | 301-791-7900
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Fax | 301-791-3686
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D78791
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License Number State | MD
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