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General NPI Number Information
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NPI Number | 1346458619
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Entity Type | Organization
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Legal Business Name | EDWIN A TORREY DDS PC
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Dates
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Enumeration Date | 05/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1239 CENTRAL PARK BLVD
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4912
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Country | US
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Telephone | 540-785-3733
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Fax | 540-785-0939
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Provider Business Mailing Address
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Address Line | 1239 CENTRAL PARK BLVD
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4912
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Country | US
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Telephone | 540-785-3733
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Fax | 540-785-0939
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDWIN ARTHUR TORREY
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Credential | DDS
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Telephone | 540-785-3733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401007015
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License Number State | VA
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