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General NPI Number Information
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NPI Number | 1639104979
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Entity Type | Organization
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Legal Business Name | ANNETTE C TOLEDANO MD PA
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 12550 BISCAYNE BLVD. SUITE 304
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City | NORTH MIAMI
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State | FL
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Zip | 33181
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Country | US
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Telephone | 305-895-6808
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Fax | 305-891-7021
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Provider Business Mailing Address
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Address Line | 12550 BISCAYNE BLVD. SUITE 304
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City | NORTH MIAMI
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State | FL
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Zip | 33181
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Country | US
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Telephone | 305-895-6808
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Fax | 305-891-7021
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. ANNETTE CHANNA TOLEDANO
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Credential | MD
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Telephone | 305-895-6808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 42511
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License Number State | FL
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