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General NPI Number Information
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NPI Number | 1972426708
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Entity Type | Organization
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Legal Business Name | BEAR MEDICAL PRIMARY CARE PLLC
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 1088 ROUTE 52 STE B
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City | CARMEL
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State | NY
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Zip | 10512-4822
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Country | US
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Telephone | 845-605-7692
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Fax | 845-302-8586
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Provider Business Mailing Address
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Address Line | 1511 ROUTE 22 STE 170
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City | BREWSTER
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State | NY
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Zip | 10509-4020
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Country | US
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Telephone | 845-605-7692
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Fax | 845-302-8586
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHAWN TOCIDLOWSKI
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Credential | DO
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Telephone | 845-605-7692
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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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