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General NPI Number Information
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NPI Number | 1245637032
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Entity Type | Organization
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Legal Business Name | ARIEL TORRES DMD INC
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 11/25/2014
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Provider Practice Location Address
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Address Line | 3069 TULARE ST
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City | FRESNO
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State | CA
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Zip | 93721-1434
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Country | US
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Telephone | 559-266-5585
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Fax | 559-266-5587
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Provider Business Mailing Address
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Address Line | 3069 TULARE ST
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City | FRESNO
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State | CA
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Zip | 93721-1434
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Country | US
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Telephone | 559-266-5585
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Fax | 559-266-5587
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | ARIEL ADEA TORRES
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Credential | DMD
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Telephone | 559-266-5585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 42433
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License Number State | CA
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