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General NPI Number Information
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NPI Number | 1215143953
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Entity Type | Individual
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Provider Name | KAISER TOOSY MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 136 SHERMAN AVE STE 302
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City | NEW HAVEN
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State | CT
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Zip | 06511-5210
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Country | US
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Telephone | 203-745-5660
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Fax | 203-823-9417
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Provider Business Mailing Address
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Address Line | 136 SHERMAN AVE STE 302
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City | NEW HAVEN
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State | CT
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Zip | 06511-5210
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Country | US
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Telephone | 203-745-5660
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Fax | 203-823-9417
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 045210
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License Number State | CT
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