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General NPI Number Information
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NPI Number | 1962841163
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Entity Type | Organization
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Legal Business Name | TOMAN ORTHOPEDICS AND SPORTS MEDICINE, PA
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 06/20/2013
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Provider Practice Location Address
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Address Line | 7301A W PALMETTO PARK RD #100B
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City | BOCA RATON
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State | FL
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Zip | 33433-3409
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Country | US
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Telephone | 561-221-6895
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Fax | 561-221-6896
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Provider Business Mailing Address
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Address Line | 21346 SAINT ANDREWS BLVD SUITE 121
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City | BOCA RATON
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State | FL
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Zip | 33433-2432
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Country | US
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Telephone | 561-221-6895
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Fax | 561-221-6896
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES V TOMAN
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Credential | MD
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Telephone | 561-221-6895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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