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General NPI Number Information
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NPI Number | 1043318512
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Entity Type | Individual
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Provider Name | CHRISTOPHER TOSOONIAN VANLEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 31872 COAST HWY SOUTH COAST MEDICAL CENTER, PATHOLOGY DEPT
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City | LAGUNA BEACH
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State | CA
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Zip | 92651
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Country | US
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Telephone | 949-499-7181
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Fax | 949-499-7248
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Provider Business Mailing Address
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Address Line | 460 EL CAMINO DEL MAR
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City | LAGUNA BEACH
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State | CA
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Zip | 92651
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Country | US
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Telephone | 949-494-0102
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Fax | 949-494-5950
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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 | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | C0038111
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License Number State | CA
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