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General NPI Number Information
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NPI Number | 1285876102
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Entity Type | Organization
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Legal Business Name | OPTICA TORRE
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 710 E BEN WHITE BLVD
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City | AUSTIN
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State | TX
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Zip | 78704-7404
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Country | US
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Telephone | 512-586-2020
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Fax | 512-586-2021
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Provider Business Mailing Address
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Address Line | 140 PAGOSA CT
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City | AUSTIN
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State | TX
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Zip | 78737-4591
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Country | US
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Telephone | 512-358-6378
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Fax | 512-586-2020
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Authorized Official
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Title or Position | PRESIDENT/OPTOMETRIST
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Name | DR. ANDRES TORRE
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Credential | 0.D.
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Telephone | 512-358-6378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6838T
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License Number State | TX
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