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General NPI Number Information
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NPI Number | 1891830105
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Entity Type | Individual
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Provider Name | JEFFREY LARRY TOPKIS D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 05/18/2015
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Provider Practice Location Address
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Address Line | 361 HOSPITAL RD STE 124
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3521
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Country | US
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Telephone | 949-631-0988
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Fax |
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Provider Business Mailing Address
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Address Line | 210 N TUSTIN AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-3807
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Country | US
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Telephone | 714-347-1010
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Fax | 714-647-1245
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 20A4423
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License Number State | CA
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