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General NPI Number Information
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NPI Number | 1598082018
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Entity Type | Organization
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Legal Business Name | EDGAR P. TOSCANO M.D. INC.
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 04/23/2010
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Provider Practice Location Address
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Address Line | 3404 W BEVERLY BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-1539
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Country | US
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Telephone | 323-728-7580
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Fax |
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Provider Business Mailing Address
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Address Line | 2126 COOLEY PL
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City | PASADENA
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State | CA
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Zip | 91104-4110
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Country | US
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Telephone | 213-309-9857
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDGAR PATRICIO TOSCANO
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Credential | M.D.
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Telephone | 213-309-9857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A80296
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License Number State | CA
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