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General NPI Number Information
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NPI Number | 1639166689
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Entity Type | Individual
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Provider Name | AGNES CHARLES TORRES MD
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Gender | Female
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 02/19/2018
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Provider Practice Location Address
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Address Line | 4NN8 VIA GEORGINA VILLA FONTANA
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City | CAROLINA
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State | PR
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Zip | 00983-4746
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Country | US
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Telephone | 787-379-6279
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Fax | 787-768-2722
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Provider Business Mailing Address
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Address Line | PO BOX 6022 PMB 69
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City | CAROLINA
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State | PR
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Zip | 00988-6022
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Country | US
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Telephone | 787-379-6279
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Fax | 787-768-2722
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 8858
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 8858
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License Number State | PR
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