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General NPI Number Information
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NPI Number | 1396758561
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Entity Type | Individual
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Provider Name | JOHN JOSEPH TORNOW M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1501 MARKET ST SUITE 200
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City | TACOMA
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State | WA
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Zip | 98402-3326
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Country | US
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Telephone | 253-382-3415
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Fax | 866-302-5883
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Provider Business Mailing Address
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Address Line | 35003 5TH AVE SW
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City | FEDERAL WAY
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State | WA
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Zip | 98023-8107
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Country | US
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Telephone | 253-942-7601
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Fax | 253-942-7601
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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 | MD00036039
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License Number State | WA
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