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General NPI Number Information
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NPI Number | 1700869708
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Entity Type | Individual
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Provider Name | THOMAS NYLK M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 5390 LONGLEY LN
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City | RENO
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State | NV
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Zip | 89511-2291
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Country | US
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Telephone | 775-302-0000
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Fax | 775-260-0368
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Provider Business Mailing Address
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Address Line | 5390 LONGLEY LN
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City | RENO
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State | NV
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Zip | 89511-2291
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Country | US
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Telephone | 775-302-0000
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Fax | 775-260-0368
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A89193
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 12300
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License Number State | NV
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