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General NPI Number Information
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NPI Number | 1588351415
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Entity Type | Organization
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Legal Business Name | TOMKO DENTAL ASSOCIATES
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 7525 TILGHMAN ST
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City | ALLENTOWN
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State | PA
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Zip | 18106-9016
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Country | US
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Telephone | 610-395-4195
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Fax | 610-395-1972
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Provider Business Mailing Address
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Address Line | 7525 TILGHMAN ST
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City | ALLENTOWN
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State | PA
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Zip | 18106-9016
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Country | US
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Telephone | 610-395-4195
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Fax |
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Authorized Official
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Title or Position | OWNER / DENTIST
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Name | DR. LORRI TOMKO
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Credential | DMD
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Telephone | 484-357-2056
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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 |
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License Number State |
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