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General NPI Number Information
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NPI Number | 1437493152
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Entity Type | Organization
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Legal Business Name | POMONA FAMILY MEDICAL ASSOCIATES LLP
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 11 MEDICAL PARK DR STE 100
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City | POMONA
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State | NY
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Zip | 10970-3559
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Country | US
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Telephone | 845-354-0510
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Fax | 845-354-0629
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Provider Business Mailing Address
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Address Line | 11 MEDICAL PARK DR STE 100
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City | POMONA
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State | NY
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Zip | 10970-3559
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Country | US
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Telephone | 845-354-0510
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Fax | 845-354-0629
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Authorized Official
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Title or Position | PHYSICIAN, PARTNER
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Name | DR. DONNA LOKETCH
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Credential | D.O
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Telephone | 914-588-1035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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