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General NPI Number Information
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NPI Number | 1285696716
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Entity Type | Individual
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Provider Name | RAFAEL GUILLERMO TORRES MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 303 GREEN ST E
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City | WILSON
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State | NC
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Zip | 27893-4105
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Country | US
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Telephone | 252-243-9800
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Fax | 252-243-9888
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Provider Business Mailing Address
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Address Line | 3840 ED DR STE 105
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City | RALEIGH
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State | NC
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Zip | 27612-8097
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Country | US
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Telephone | 919-789-8857
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Fax | 919-789-8858
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0099-1342
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License Number State | NC
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