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General NPI Number Information
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NPI Number | 1174677579
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Entity Type | Individual
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Provider Name | EDUARDO A TORRADO
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 10/24/2016
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Provider Practice Location Address
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Address Line | 1100 LONG POND RD
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City | ROCHESTER
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State | NY
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Zip | 14626-1177
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Country | US
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Telephone | 585-225-7790
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Fax |
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Provider Business Mailing Address
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Address Line | 11 ROLLINS XING
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City | PITTSFORD
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State | NY
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Zip | 14534-2766
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Country | US
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Telephone | 585-317-9644
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Fax |
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 046898-1
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License Number State | NY
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