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General NPI Number Information
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NPI Number | 1528386919
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Entity Type | Organization
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Legal Business Name | TGO MEDICINE PC
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Dates
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Enumeration Date | 05/10/2010
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 1700 FLATBUSH AVE
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City | BROOKLYN
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State | NY
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Zip | 11210-3943
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Country | US
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Telephone | 516-330-4173
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Fax |
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Provider Business Mailing Address
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Address Line | 336 LAGOON DR S
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City | COPIAGUE
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State | NY
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Zip | 11726-5416
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Country | US
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Telephone | 516-330-4173
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS G O'BRIEN
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Credential | D.O
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Telephone | 516-330-4173
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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 |
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License Number State |
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