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General NPI Number Information
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NPI Number | 1649705724
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Entity Type | Individual
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Provider Name | SHAWN TOCIDLOWSKI D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2017
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 2 MAIN ST
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City | DANBURY
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State | CT
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Zip | 06810-8047
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Country | US
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Telephone | 203-826-2140
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Fax | 203-826-2139
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Provider Business Mailing Address
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Address Line | 1511 ROUTE 22 STE 170
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City | BREWSTER
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State | NY
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Zip | 10509-4020
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Country | US
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Telephone | 845-605-7692
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Fax | 845-302-8586
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 304915
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 78147
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License Number State | CT
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