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General NPI Number Information
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NPI Number | 1477745776
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Entity Type | Organization
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Legal Business Name | JAYME TOMCHIK, D.M.D., P.C.
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 4624 PEMBROKE BLVD SUITE #103
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-6450
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Country | US
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Telephone | 757-460-2250
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Fax | 757-460-1865
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Provider Business Mailing Address
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Address Line | 4624 PEMBROKE BLVD SUITE #103
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-6450
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Country | US
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Telephone | 757-460-2250
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Fax | 757-460-1865
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAYME DAVID TOMCHIK
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Credential | D.M.D.
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Telephone | 757-460-2250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401007935
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License Number State | VA
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