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General NPI Number Information
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NPI Number | 1295424786
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Entity Type | Individual
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Provider Name | GLORIA DOMINGA TORRES
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Gender | Female
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Dates
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Enumeration Date | 05/02/2023
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 3975 TOWNSHIP LINE RD
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City | BETHLEHEM
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State | PA
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Zip | 18020-9467
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Country | US
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Telephone | 866-666-7610
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Fax |
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Provider Business Mailing Address
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Address Line | 1055 CETRONIA RD APT T5
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City | BREINIGSVILLE
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State | PA
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Zip | 18031-1773
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Country | US
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Telephone | 157-051-7971
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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