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General NPI Number Information
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NPI Number | 1568573798
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Entity Type | Organization
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Legal Business Name | JOHN M TOKISH MD PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 7700 S BROADWAY
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City | LITTLETON
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State | CO
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Zip | 80122-2602
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Country | US
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Telephone | 303-795-3375
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 909
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City | COLORADO SPRINGS
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State | CO
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Zip | 80901-0909
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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 | PRESIDENT
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Name | JOHN M TOKISH
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Credential | MD
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Telephone | 719-214-1650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 38539
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License Number State | CO
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