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General NPI Number Information
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NPI Number | 1427526482
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Entity Type | Individual
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Provider Name | NICOLAS TORRES PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 244 E 84TH ST FL 5
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City | NEW YORK
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State | NY
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Zip | 10028-2904
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Country | US
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Telephone | 121-203-6802
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Fax |
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Provider Business Mailing Address
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Address Line | 2540 SHORE BLVD APT 5C
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City | ASTORIA
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State | NY
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Zip | 11102-3944
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Country | US
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Telephone | 718-607-3292
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 042010
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License Number State | NY
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