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General NPI Number Information
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NPI Number | 1104149251
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Entity Type | Organization
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Legal Business Name | AURELIO TORRES PA
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Dates
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Enumeration Date | 03/03/2010
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Last Update Date | 01/17/2012
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Provider Practice Location Address
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Address Line | 16418 NW 14TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1314
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Country | US
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Telephone | 954-391-9042
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Fax | 954-391-9042
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Provider Business Mailing Address
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Address Line | 16418 NW 14TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1314
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Country | US
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Telephone | 954-391-9042
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Fax | 954-391-9042
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Authorized Official
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Title or Position | PRESIDENT
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Name | AURELIO TORRES CONSUEGRA
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Credential | MD
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Telephone | 954-391-9042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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