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NPI 1639220114

NPI 1639220114 : RAFAEL E TORRES DMD : GREENVILLE, NC

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General NPI Number Information
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    NPI Number           |    1639220114
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    Entity Type          |    Individual 
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    Provider Name        |    RAFAEL E TORRES DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/13/2007
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    Last Update Date     |    08/09/2013
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Provider Practice Location Address
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    Address Line         |    2446 EMERALD PL 
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    City                 |    GREENVILLE
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    State                |    NC
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    Zip                  |    27834-5784
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    Country              |    US
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    Telephone            |    252-756-3313
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2446 EMERALD PL 
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    City                 |    GREENVILLE
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    State                |    NC
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    Zip                  |    27834-5784
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    Country              |    US
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    Telephone            |    252-756-3313
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DEN 1000516
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    License Number State |    DC
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Taxonomy #2
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    2707
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    License Number State |    PR
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Taxonomy #3
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    8928
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    License Number State |    NC
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