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General NPI Number Information
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NPI Number | 1306589148
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Entity Type | Individual
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Provider Name | JIHAN TOMA
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Gender | Female
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Dates
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Enumeration Date | 04/19/2022
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 4770 ROCHESTER RD
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City | TROY
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State | MI
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Zip | 48085-4951
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Country | US
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Telephone | 248-689-5125
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Fax |
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Provider Business Mailing Address
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Address Line | 28050 GRAND RIVER AVE
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City | FARMINGTON HILLS
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State | MI
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Zip | 48336-5919
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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 |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 5901400542
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License Number State | MI
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