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General NPI Number Information
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NPI Number | 1891094850
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Entity Type | Individual
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Provider Name | THOMAS JULIAN OW M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/16/2011
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 530 E 74TH ST FL 17
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City | NEW YORK
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State | NY
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Zip | 10021-3459
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Country | US
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Telephone | 347-798-9663
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Fax |
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Provider Business Mailing Address
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Address Line | 1275 YORK AVE FL 10
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 212-639-6343
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Fax |
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 266122
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License Number State | NY
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