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General NPI Number Information
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NPI Number | 1003632506
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Entity Type | Individual
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Provider Name | ISRAEL TORRES
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Gender | Male
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Dates
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Enumeration Date | 11/29/2024
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Last Update Date | 11/29/2024
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Provider Practice Location Address
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Address Line | CENTRO COMERCIAL PLAZA 66 LOCAL# 8 BO SAN ANTON
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-220-7842
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Fax |
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Provider Business Mailing Address
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Address Line | CENTRO COMERCIAL PLAZA 66 LOCAL# 8 BO SAN ANTON
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City | CAROLINA
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State | PR
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Zip | 00987-2419
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Country | US
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Telephone | 787-220-7842
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Fax |
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 0830
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 156FX1900X
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Taxonomy Name | Orthoptist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 830
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License Number State | PR
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