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General NPI Number Information
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NPI Number | 1154512192
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Entity Type | Individual
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Provider Name | MARCO ANTONIO TORRADO DMD,MS
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Gender | Male
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | STATE ROUTE #2, KM 87.7, AVE.PABLO J. AGUILAR BO.PUEBLO
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City | HATILLO
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State | PR
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Zip | 00659-1848
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Country | US
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Telephone | 787-262-5800
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Fax | 787-262-5900
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Provider Business Mailing Address
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Address Line | STATE ROUTE #2, KM 87.7,AVE.PABLO J. AGUILAR,BO. PUEBLO BOX 1848
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City | HATILLO
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State | PR
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Zip | 00659-1848
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Country | US
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Telephone | 787-262-5800
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Fax | 787-262-5900
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 2706
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License Number State | PR
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