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General NPI Number Information
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NPI Number | 1336434075
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Entity Type | Individual
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Provider Name | JAMES DAVID TORHORST D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2011
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Last Update Date | 12/31/2018
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Provider Practice Location Address
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Address Line | 1439 CHURCHILL ST # 202
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City | WAUPACA
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State | WI
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Zip | 54981-2089
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Country | US
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Telephone | 715-942-2023
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Fax | 888-208-5257
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Provider Business Mailing Address
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Address Line | 1439 CHURCHILL ST
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City | WAUPACA
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State | WI
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Zip | 54981-2089
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Country | US
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Telephone | 715-942-2023
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Fax | 833-208-5257
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 992-25
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License Number State | WI
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