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NPI 1568439867

NPI 1568439867 : VICTOR R TORIBIO IDC : FPO AP -, BRITISH INDIAN OCEAN TERRITY

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General NPI Number Information
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    NPI Number           |    1568439867
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    Entity Type          |    Individual 
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    Provider Name        |    VICTOR R TORIBIO IDC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/06/2006
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    PSC466 BOX 3 
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    City                 |    FPO AP -
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    State                |    BRITISH INDIAN OCEAN TERRITY
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    Zip                  |    FPO AP
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    Country              |    IO
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    Telephone            |    246-370-4222
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    Fax                  |    246-370-4217
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Provider Business Mailing Address
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    Address Line         |    PSC466 BOX 3 
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    City                 |    FPO AP -
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    State                |    BRITISH INDIAN OCEAN TERRITY
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    Zip                  |    FPO AP
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    Country              |    IO
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    Telephone            |    
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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        |    1710I1002X
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    Taxonomy Name        |    Independent Duty Corpsman
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    License Number       |    
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    License Number State |    
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