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NPI 1326168386

NPI 1326168386 : EDWARD O. TOMOYE D.O., M.A. : GREENVILLE, TX

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General NPI Number Information
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    NPI Number           |    1326168386
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    Entity Type          |    Individual 
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    Provider Name        |    EDWARD O. TOMOYE D.O., M.A.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/30/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    4215 JOE RAMSEY BLVD E 
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    City                 |    GREENVILLE
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    State                |    TX
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    Zip                  |    75401-7852
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    Country              |    US
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    Telephone            |    817-921-1886
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    Fax                  |    817-768-6424
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Provider Business Mailing Address
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    Address Line         |    501 AIR PARK AVE 
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    City                 |    GREENVILLE
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    State                |    TX
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    Zip                  |    75402-3000
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    Country              |    US
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    Telephone            |    817-921-1886
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    Fax                  |    817-768-6424
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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        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    58-002199
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    N9785
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    License Number State |    TX
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