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General NPI Number Information
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NPI Number | 1306840681
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Entity Type | Individual
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Provider Name | TORRI FAIR GAMBACORTA D.C.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2005
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 605 N SPENCE AVE
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City | GOLDSBORO
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State | NC
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Zip | 27534-4263
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Country | US
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Telephone | 919-759-2040
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Fax | 919-751-3001
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Provider Business Mailing Address
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Address Line | 605 N SPENCE AVE
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City | GOLDSBORO
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State | NC
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Zip | 27534-4263
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Country | US
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Telephone | 919-759-2040
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Fax | 919-751-3001
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3284
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License Number State | NC
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