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General NPI Number Information
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NPI Number | 1972034452
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Entity Type | Individual
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Provider Name | THOMAS D BOHMAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2017
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 18 MDG, KADENA AB, UNIT 5268 OPC 80, BOX 5217
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City | APO
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State | AP
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Zip | 96368-5217
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Country | US
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Telephone | 315-630-4780
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Fax |
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Provider Business Mailing Address
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Address Line | 18 MDG, UNIT 5268 OPC 80, BOX 5217
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City | APO
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State | AP
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Zip | 96368-5217
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Country | US
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Telephone | 315-630-4780
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 31400
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 31400
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 179767
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License Number State | AK
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