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General NPI Number Information
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NPI Number | 1316035702
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Entity Type | Individual
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Provider Name | THOMAS EDWARD FURLONG MD
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/24/2015
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Provider Practice Location Address
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Address Line | 74 N BREIEL BLVD
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City | MIDDLETOWN
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State | OH
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Zip | 45042-3804
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Country | US
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Telephone | 513-424-7291
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Fax | 513-424-2289
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Provider Business Mailing Address
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Address Line | 25 MERCHANT STREET SUITE 220
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City | CINCINNATI
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State | OH
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Zip | 45246-3740
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Country | US
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Telephone | 513-533-6507
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Fax | 513-645-9767
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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 | 34862
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License Number State | OH
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