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General NPI Number Information
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NPI Number | 1225223985
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Entity Type | Organization
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Legal Business Name | MARIA C TORRES MD LLC
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 766 COUNTRY CLUB DR
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City | TITUSVILLE
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State | FL
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Zip | 32780-4900
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Country | US
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Telephone | 321-264-1052
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Fax | 321-264-0778
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Provider Business Mailing Address
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Address Line | 766 COUNTRY CLUB DR
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City | TITUSVILLE
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State | FL
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Zip | 32780-4900
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Country | US
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Telephone | 321-264-1052
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Fax | 321-264-0778
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | MS. MARIA C TORRES
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Credential | M.D.
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Telephone | 321-264-1052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME90321
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License Number State | FL
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