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General NPI Number Information
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NPI Number | 1083243125
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Entity Type | Individual
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Provider Name | TYLER J TORRICO MD
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Gender | Male
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 1700 MOUNT VERNON AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93306-4018
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Country | US
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Telephone | 661-326-2237
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Fax | 661-861-7682
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Provider Business Mailing Address
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Address Line | 1728 OCEAN AVE PMB 140
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City | SAN FRANCISCO
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State | CA
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Zip | 94112-1737
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Country | US
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Telephone | 661-326-2237
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Fax | 661-861-7682
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 13475043-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101278037
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0097032
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD210011573
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A180999
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License Number State | CA
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