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General NPI Number Information
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NPI Number | 1508977927
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Entity Type | Individual
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Provider Name | MARY ELLEN TORRES MD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 1804 DAVIE AVE
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City | STATESVILLE
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State | NC
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Zip | 28677-3524
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Country | US
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Telephone | 704-873-7250
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Fax | 704-878-9457
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Provider Business Mailing Address
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Address Line | PO BOX 1845
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City | STATESVILLE
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State | NC
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Zip | 28687-1845
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Country | US
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Telephone | 704-873-4277
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Fax | 704-878-9457
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 93-00613
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License Number State | NC
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