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General NPI Number Information
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NPI Number | 1720292550
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Entity Type | Individual
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Provider Name | SUCHMOR THOMAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 12/01/2010
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Provider Practice Location Address
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Address Line | 908 E SOUTHMORE AVE 100
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City | PASADENA
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State | TX
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Zip | 77502-1134
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Country | US
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Telephone | 713-554-1091
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Fax | 713-554-1097
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Provider Business Mailing Address
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Address Line | 908 E SOUTHMORE AVE STE 100
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City | PASADENA
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State | TX
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Zip | 77502-1120
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Country | US
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Telephone | 713-554-1091
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Fax | 713-554-1097
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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 | M8383
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | M8383
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License Number State | TX
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