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General NPI Number Information
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NPI Number | 1225342462
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Entity Type | Organization
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Legal Business Name | THOMAS J TSOU MD INC
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 408 S BEACH BLVD SUITE 110
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City | ANAHEIM
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State | CA
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Zip | 92804-1864
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Country | US
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Telephone | 714-827-1212
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Fax | 714-827-0843
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Provider Business Mailing Address
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Address Line | 408 S BEACH BLVD SUITE 110
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City | ANAHEIM
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State | CA
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Zip | 92804-1853
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Country | US
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Telephone | 714-827-1212
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Fax | 714-827-0843
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS J TSOU
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Credential | M.D.
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Telephone | 714-827-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | A32927
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License Number State | CA
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