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General NPI Number Information
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NPI Number | 1952069304
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Entity Type | Organization
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Legal Business Name | TOV HMC LLC
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Dates
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Enumeration Date | 12/02/2021
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 1540 ROUTE 202 STE 7
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City | POMONA
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State | NY
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Zip | 10970-2922
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Country | US
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Telephone | 845-362-1078
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Fax |
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Provider Business Mailing Address
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Address Line | 18 N RIDGE RD
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City | POMONA
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State | NY
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Zip | 10970-2111
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Country | US
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Telephone | 845-368-1078
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOV LANDA
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Credential | PA
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Telephone | 718-637-3234
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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 |
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License Number State |
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