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General NPI Number Information
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NPI Number | 1154525491
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Entity Type | Individual
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Provider Name | CHRISTOPHER TORTORA L.M.T.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 18820 NW 76TH AVE
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City | ALACHUA
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State | FL
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Zip | 32615-7587
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Country | US
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Telephone | 352-284-0126
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Fax | 386-418-1272
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Provider Business Mailing Address
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Address Line | 18820 NW 76TH AVE
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City | ALACHUA
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State | FL
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Zip | 32615-7587
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Country | US
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Telephone | 352-284-0126
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Fax | 386-418-1272
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA41060
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License Number State | FL
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