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General NPI Number Information
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NPI Number | 1013934801
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Entity Type | Individual
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Provider Name | JOSEPH C TOULOUSE MD
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Gender | Male
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 2435 N AZALEA DR
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City | AVON PARK
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State | FL
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Zip | 33825-9516
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Country | US
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Telephone | 863-257-3963
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Fax | 863-354-6616
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Provider Business Mailing Address
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Address Line | 2545 N ORANGEWOOD ST
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City | AVON PARK
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State | FL
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Zip | 33825-7917
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Country | US
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Telephone | 863-257-3936
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 33082
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | C 5613
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME82481
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME82481
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License Number State | FL
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