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General NPI Number Information
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NPI Number | 1912094590
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Entity Type | Individual
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Provider Name | ELIF TOKCAN - TALEGON MD
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Gender | Female
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 99 MONTECILLO RD
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City | SAN RAFAEL
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State | CA
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Zip | 94903-3308
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Country | US
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Telephone | 415-444-4743
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Fax | 415-444-4633
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Provider Business Mailing Address
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Address Line | 365 PEARSON DR STE 5
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City | PORTERVILLE
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State | CA
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Zip | 93257-3360
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Country | US
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Telephone | 559-788-2175
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Fax | 559-788-2227
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A63262
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License Number State | CA
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