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General NPI Number Information
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NPI Number | 1295480069
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Entity Type | Organization
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Legal Business Name | TORRES CHIROPRACTIC MEDICAL CENTER, PS
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Dates
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Enumeration Date | 02/19/2022
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Last Update Date | 02/19/2022
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Provider Practice Location Address
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Address Line | 11210 BRIDGEPORT WAY SW
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City | LAKEWOOD
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State | WA
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Zip | 98499-3003
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Country | US
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Telephone | 253-503-0443
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Fax | 253-449-0510
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Provider Business Mailing Address
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Address Line | 4004 NE 4TH ST STE 107-209
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City | RENTON
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State | WA
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Zip | 98056-4102
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Country | US
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Telephone | 253-579-6105
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Fax | 253-449-0510
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GABRIEL TORRES
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Credential | DC
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Telephone | 253-579-6105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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