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General NPI Number Information
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NPI Number | 1104897453
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Entity Type | Individual
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Provider Name | PEDRO J CRUZ TORRES MD
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Gender | Male
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 2565 ENTERPRISE RD STE 400
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City | ORANGE CITY
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State | FL
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Zip | 32763-7912
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Country | US
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Telephone | 386-201-9105
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Fax | 386-201-9106
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Provider Business Mailing Address
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Address Line | 2565 ENTERPRISE RD STE 400
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City | ORANGE CITY
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State | FL
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Zip | 32763-7912
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Country | US
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Telephone | 386-201-9105
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Fax | 386-201-9106
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME85694
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License Number State | FL
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