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General NPI Number Information
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NPI Number | 1336544006
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Entity Type | Individual
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Provider Name | MICHAEL TORRES D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/23/2014
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 15954 JACKSON CREEK PKWY # B244
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City | MONUMENT
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State | CO
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Zip | 80132-8532
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Country | US
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Telephone | 719-930-9515
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Fax |
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Provider Business Mailing Address
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Address Line | 15954 JACKSON CREEK PKWY # B244
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City | MONUMENT
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State | CO
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Zip | 80132-8532
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Country | US
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Telephone | 719-930-9515
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A13621
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO-0075
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License Number State | GU
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DO-0075
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License Number State | GU
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DO-0075
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License Number State | GU
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