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General NPI Number Information
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NPI Number | 1447945647
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Entity Type | Organization
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Legal Business Name | TORRES PEDIATRICS CORP
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Dates
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Enumeration Date | 04/05/2023
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 47647 CALEO BAY DR STE 230
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City | LA QUINTA
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State | CA
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Zip | 92253-8859
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Country | US
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Telephone | 760-474-8155
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Fax | 442-372-7472
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Provider Business Mailing Address
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Address Line | 47647 CALEO BAY DR STE 230
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City | LA QUINTA
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State | CA
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Zip | 92253-8859
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Country | US
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Telephone | 760-474-8155
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Fax | 442-372-7472
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Authorized Official
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Title or Position | CEO
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Name | DR. EDGAR LIBARDO TORRES
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Credential | MD
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Telephone | 617-610-3407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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