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General NPI Number Information
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NPI Number | 1548297740
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Entity Type | Individual
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Provider Name | JOHN A TWOMEY MD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 701 PARK AVE O5
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City | MINNEAPOLIS
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State | MN
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Zip | 55415-1623
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Country | US
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Telephone | 612-873-3895
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Fax |
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Provider Business Mailing Address
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Address Line | 1329 WATERFORD DR
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City | GOLDEN VALLEY
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State | MN
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Zip | 55422-4283
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Country | US
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Telephone |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 22971
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License Number State | MN
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