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General NPI Number Information
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NPI Number | 1063845782
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Entity Type | Organization
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Legal Business Name | ALEXANDER S TOVAR MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/16/2013
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Last Update Date | 08/16/2013
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Provider Practice Location Address
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Address Line | 201 S BUENA VISTA ST #425
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City | BURBANK
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State | CA
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Zip | 91505-4569
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Country | US
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Telephone | 818-848-8311
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Fax |
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Provider Business Mailing Address
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Address Line | 201 S BUENA VISTA ST #425
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City | BURBANK
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State | CA
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Zip | 91505-4569
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Country | US
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Telephone | 818-848-8311
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDER S TOVAR
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Credential | MD
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Telephone | 818-848-8311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G57558
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License Number State | CA
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