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General NPI Number Information
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NPI Number | 1558353946
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Entity Type | Individual
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Provider Name | SABAH S TOMA MD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 11/03/2011
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Provider Practice Location Address
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Address Line | 33 - 57 HARRISON STREET
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City | JOHNSON CITY
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State | NY
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Zip | 13790
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Country | US
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Telephone | 607-763-6412
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Fax | 607-763-5854
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Provider Business Mailing Address
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Address Line | 227 MAIN STREET
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City | JOHNSON CITY
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State | NY
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Zip | 13790-2403
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Country | US
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Telephone | 607-763-6293
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Fax | 607-763-6717
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 157655
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License Number State | NY
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