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General NPI Number Information
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NPI Number | 1629010319
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Entity Type | Organization
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Legal Business Name | TOMOL MEDICAL, INC
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 40 W SANTA CLARA ST
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City | VENTURA
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State | CA
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Zip | 93001-2542
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Country | US
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Telephone | 805-643-3034
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Fax | 805-643-3088
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Provider Business Mailing Address
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Address Line | 1072 CASITAS PASS RD #373
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City | CARPINTERIA
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State | CA
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Zip | 93013-2109
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Country | US
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Telephone | 805-643-3034
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Fax | 805-643-3094
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANN OLSON
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Credential |
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Telephone | 805-643-3034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | G84131
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G84131
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | G84131
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License Number State | CA
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