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General NPI Number Information
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NPI Number | 1275967960
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Entity Type | Individual
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Provider Name | RAISA A. TORRES-PENA
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Gender | Female
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 09/23/2018
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Provider Practice Location Address
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Address Line | 1901 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-423-6262
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 1ST AVE OFC 6C-4
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City | NEW YORK
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State | NY
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Zip | 10029-7491
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Country | US
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Telephone | 212-423-6262
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 31,442-R
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 292773
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License Number State | NY
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