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General NPI Number Information
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NPI Number | 1104128032
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Entity Type | Organization
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Legal Business Name | MARTIN TORRENTS, DO, PC
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 11/29/2010
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Provider Practice Location Address
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Address Line | 8502 67TH AVE
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City | REGO PARK
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State | NY
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Zip | 11374-5214
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Country | US
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Telephone | 347-331-6533
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Fax |
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Provider Business Mailing Address
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Address Line | 6939 LOUBET ST
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City | FOREST HILLS
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State | NY
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Zip | 11375-5845
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARTIN TORRENTS
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Credential | DO
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Telephone | 347-331-6533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 255974
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License Number State | NY
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