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General NPI Number Information
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NPI Number | 1952579112
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Entity Type | Organization
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Legal Business Name | TOOSIEMD INC
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 3998 VISTA WAY SUITE 200
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City | OCEANSIDE
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State | CA
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Zip | 92056-4500
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Country | US
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Telephone | 760-724-5352
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Fax | 760-724-5447
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Provider Business Mailing Address
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Address Line | 3998 VISTA WAY SUITE 200
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City | OCEANSIDE
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State | CA
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Zip | 92056-4500
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Country | US
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Telephone | 760-724-5352
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Fax | 760-724-5447
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATAYOUN TOOSIE
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Credential | MD
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Telephone | 760-724-5352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A60211
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License Number State | CA
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