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General NPI Number Information
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NPI Number | 1497123806
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Entity Type | Individual
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Provider Name | DIANA M TORRES DMD, MSD
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Gender | Female
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Dates
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Enumeration Date | 09/02/2015
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 1020 S ARLINGTON HEIGHTS RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3169
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Country | US
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Telephone | 847-749-4340
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 S ARLINGTON HEIGHTS RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3169
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Country | US
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Telephone | 847-749-4340
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1857035
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 021.002997
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License Number State | IL
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