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General NPI Number Information
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NPI Number | 1396797577
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Entity Type | Organization
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Legal Business Name | CEDAR NILES INTERNAL MEDICINE, P.A.
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 6053 MAIN ST SUITE 230
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City | THE COLONY
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State | TX
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Zip | 75056-2062
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Country | US
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Telephone | 214-619-1770
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Fax |
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Provider Business Mailing Address
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Address Line | 6053 MAIN ST SUITE 230
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City | THE COLONY
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State | TX
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Zip | 75056-2062
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Country | US
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Telephone | 214-619-1770
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LORINDA K TORRES
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Credential | M.D.
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Telephone | 214-619-1770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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