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General NPI Number Information
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NPI Number | 1023490695
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Entity Type | Individual
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Provider Name | WILBERTO TORRES
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Gender | Male
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Dates
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Enumeration Date | 06/19/2015
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Last Update Date | 09/03/2015
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Provider Practice Location Address
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Address Line | 5 PINE STREET EXT
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City | NASHUA
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State | NH
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Zip | 03060-3248
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Country | US
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Telephone | 603-821-7421
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Fax | 603-821-7474
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Provider Business Mailing Address
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Address Line | 60 DUBLIN AVE
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City | NASHUA
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State | NH
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Zip | 03063-2044
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Country | US
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Telephone | 603-233-8457
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | NH
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