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General NPI Number Information
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NPI Number | 1700056595
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Entity Type | Organization
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Legal Business Name | EMIL TOTONCHI, M.D., F.R.C.S., S.C.
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 860 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60610-3218
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Country | US
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Telephone | 312-944-2848
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Fax |
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Provider Business Mailing Address
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Address Line | 860 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60610-3218
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Country | US
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Telephone | 312-944-2848
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Fax |
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Authorized Official
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Title or Position | UROLOGY
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Name | DR. EMIL F. TOTONCHI
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Credential |
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Telephone | 312-944-2848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 036057976
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License Number State | IL
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