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General NPI Number Information
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NPI Number | 1639138324
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Entity Type | Individual
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Provider Name | TERESITA TORRES MD
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Gender | Female
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 200 E FAIRMAN AVE
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City | WATSEKA
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State | IL
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Zip | 60970-1644
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Country | US
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Telephone | 815-432-5841
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Fax |
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Provider Business Mailing Address
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Address Line | 200 LAIRD LN
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City | WATSEKA
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State | IL
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Zip | 60970-7568
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Country | US
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Telephone | 815-432-5411
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Fax | 815-432-3955
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036085512
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License Number State | IL
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