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General NPI Number Information
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NPI Number | 1508120312
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Entity Type | Individual
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Provider Name | DAVID TOMBACK D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2012
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Last Update Date | 01/15/2022
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Provider Practice Location Address
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Address Line | 323 E 34TH ST 9TH FLOOR SUITE 904
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City | NEW YORK
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State | NY
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Zip | 10016
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Country | US
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Telephone | 212-726-7483
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Fax |
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Provider Business Mailing Address
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Address Line | 110 S BEDFORD RD FL 9
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3446
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Country | US
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Telephone | 212-726-7483
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Fax |
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 006539
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License Number State | NY
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