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General NPI Number Information
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NPI Number | 1417680521
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Entity Type | Individual
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Provider Name | DAISY Z TORRES
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Gender | Female
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 32121 CAMINO CAPISTRANO
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-3716
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Country | US
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Telephone | 949-493-2178
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Fax | 949-493-9679
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Provider Business Mailing Address
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Address Line | 32802 VALLE RD SPC 39
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-4523
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Country | US
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Telephone | 949-289-3433
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | TCH173037
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License Number State | CA
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