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General NPI Number Information
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NPI Number | 1841809597
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Entity Type | Organization
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Legal Business Name | SEAN S. TO., M.D., INC
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Dates
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Enumeration Date | 07/29/2020
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Last Update Date | 07/29/2020
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Provider Practice Location Address
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Address Line | 5562 PHILADELPHIA ST STE 201
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City | CHINO
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State | CA
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Zip | 91710
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Country | US
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Telephone | 909-988-1000
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Fax | 909-988-1001
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Provider Business Mailing Address
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Address Line | 1317 S. DIAMOND BAR BLVD STE. 4462
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City | DIAMOND BAR
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State | CA
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Zip | 91765
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Country | US
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Telephone | 626-652-8871
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Fax | 909-988-1001
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | SEAN SANG VAN TO
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Credential | M.D.,
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Telephone | 951-834-8515
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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 |
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License Number State |
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