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General NPI Number Information
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NPI Number | 1407199938
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Entity Type | Individual
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Provider Name | DAISY MARIE TORRES-MIRANDA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 07/27/2018
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Provider Practice Location Address
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Address Line | 10115 FOREST HILL BLVD STE 102
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City | WELLINGTON
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State | FL
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Zip | 33414
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Country | US
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Telephone | 561-967-0101
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Fax | 561-967-6260
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Provider Business Mailing Address
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Address Line | 172 CALLE MUNOZ RIVERA PARC. SABANETAS
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City | PONCE
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State | PR
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Zip | 00716-4511
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Country | US
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Telephone | 787-402-9550
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME136055
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME136055
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License Number State | FL
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