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General NPI Number Information
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NPI Number | 1497221915
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Entity Type | Individual
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Provider Name | WILLIAM TORRES CRNA
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Gender | Male
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Dates
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Enumeration Date | 10/23/2018
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 2095 HENRY TECKLENBURG DR
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City | CHARLESTON
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State | SC
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Zip | 29414-5733
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Country | US
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Telephone | 843-402-1436
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Fax | 843-402-1833
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Provider Business Mailing Address
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Address Line | 9263 MEDICAL PLAZA DR STE E
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City | CHARLESTON
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State | SC
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Zip | 29406-7112
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Country | US
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Telephone | 184-357-2122
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 22635
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 215639
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License Number State | SC
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