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General NPI Number Information
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NPI Number | 1417074683
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Entity Type | Organization
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Legal Business Name | EDUARDO A TOVAR, M.D. A MEDICAL CORP
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 12462 PUTNAM ST. SUITE 200
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City | WHITTIER
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State | CA
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Zip | 90602-1002
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Country | US
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Telephone | 562-789-5489
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Fax | 562-907-2492
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Provider Business Mailing Address
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Address Line | 12462 PUTNAM ST. SUITE 200
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City | WHITTIER
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State | CA
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Zip | 90602-1002
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Country | US
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Telephone | 562-789-5489
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Fax | 562-907-2492
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDUARDO A TOVAR
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Credential | M.D.
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Telephone | 562-789-5489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A38670
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | A38670
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License Number State | CA
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