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General NPI Number Information
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NPI Number | 1528677879
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Entity Type | Individual
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Provider Name | ADAM TOMAYKO DMD
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Gender | Male
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Dates
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Enumeration Date | 07/23/2020
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 116 6TH ST
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City | CLYMER
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State | PA
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Zip | 15728-1189
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Country | US
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Telephone | 724-254-9669
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Fax |
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Provider Business Mailing Address
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Address Line | 229 PINE AVE
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City | INDIANA
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State | PA
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Zip | 15701-9032
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Country | US
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Telephone | 724-549-6336
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS042845
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License Number State | PA
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