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General NPI Number Information
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NPI Number | 1386166965
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Entity Type | Organization
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Legal Business Name | VICTORIA L TORRALBA MD
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 730 SE 5TH TER
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-4852
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Country | US
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Telephone | 352-795-7795
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Fax | 352-795-5235
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Provider Business Mailing Address
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Address Line | 730 SE 5TH TER
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-4852
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Country | US
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Telephone | 352-795-7795
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Fax | 352-795-5235
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MR. BERNARD TORRALBA
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Credential |
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Telephone | 352-795-7795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME68437
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License Number State | FL
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