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General NPI Number Information
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NPI Number | 1518932938
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Entity Type | Organization
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Legal Business Name | EDMUND C. TOPILOW,MD,FACS,PA
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 10/19/2011
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Provider Practice Location Address
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Address Line | 796 AVENUE C
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City | BAYONNE
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State | NJ
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Zip | 07002-5839
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Country | US
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Telephone | 201-436-8596
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Fax | 201-436-7867
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Provider Business Mailing Address
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Address Line | 796 AVENUE C
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City | BAYONNE
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State | NJ
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Zip | 07002-5839
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Country | US
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Telephone | 201-436-8596
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Fax | 201-436-7867
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Authorized Official
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Title or Position | PRESIDENT OF MY CORPORATION
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Name | DR. EDMUND CHARLES TOPILOW
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Credential | M.D.
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Telephone | 201-436-8596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA04010900
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License Number State | NJ
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