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General NPI Number Information
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NPI Number | 1497135560
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Entity Type | Organization
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Legal Business Name | DR RALPH TORRES CSP
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 06/04/2015
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Provider Practice Location Address
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Address Line | A1 CALLE ARPEGIO URB HIGHLAND GARDENS
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City | GUAYNABO
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State | PR
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Zip | 00969-3519
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Country | US
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Telephone | 787-789-6400
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Fax | 787-789-8085
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Provider Business Mailing Address
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Address Line | PO BOX 10046
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City | SAN JUAN
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State | PR
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Zip | 00922-0046
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Country | US
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Telephone | 787-789-6400
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Fax | 787-789-8085
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Authorized Official
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Title or Position | DENTISTA
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Name | DR. RALPH TORRES
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Credential | DMD
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Telephone | 787-789-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 1543
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License Number State | PR
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