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General NPI Number Information
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NPI Number | 1609172667
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Entity Type | Organization
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Legal Business Name | ALLMED FAMILY CARE CENTER P.A.
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 1302 S MEDFORD DR
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City | LUFKIN
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State | TX
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Zip | 75901-6218
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Country | US
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Telephone | 936-205-5965
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Fax | 936-205-5967
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Provider Business Mailing Address
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Address Line | 3708 KINGS ROW DR
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City | NACOGDOCHES
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State | TX
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Zip | 75965-5855
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Country | US
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Telephone | 936-205-5965
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Fax | 936-205-5967
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN TOMSIC
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Credential | MD, DC
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Telephone | 936-205-5965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N7185
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License Number State | TX
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