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General NPI Number Information
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NPI Number | 1063176733
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Entity Type | Organization
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Legal Business Name | TOOFAN MEDICAL HOLDINGS, LTD
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Dates
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Enumeration Date | 10/28/2021
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 1325 KOESTER DR
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City | FORSYTH
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State | IL
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Zip | 62535-9625
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Country | US
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Telephone | 217-330-6868
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Fax | 213-330-6966
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Provider Business Mailing Address
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Address Line | 1325 KOESTER DR
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City | FORSYTH
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State | IL
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Zip | 62535-9625
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Country | US
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Telephone | 217-330-6868
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Fax | 213-330-6966
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL A TOOFAN
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Credential | MD
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Telephone | 217-994-9301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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