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NPI 1114943032

NPI 1114943032 : MARGARITA PACHECO TORRES MD : TAMPA, FL

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General NPI Number Information
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    NPI Number           |    1114943032
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    Entity Type          |    Individual 
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    Provider Name        |    MARGARITA PACHECO TORRES MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/14/2006
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    Last Update Date     |    06/11/2021
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Provider Practice Location Address
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    Address Line         |    3222 W AZEELE ST 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33609-3280
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    Country              |    US
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    Telephone            |    813-872-8491
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    Fax                  |    813-872-7766
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Provider Business Mailing Address
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    Address Line         |    4033 TAMPA RD SUITE 101
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    City                 |    OLDSMAR
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    State                |    FL
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    Zip                  |    34677-3224
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    Country              |    US
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    Telephone            |    813-854-2003
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    Fax                  |    813-855-3765
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    ME57174
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    License Number State |    FL
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