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General NPI Number Information
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NPI Number | 1649692211
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Entity Type | Individual
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Provider Name | MICHAEL TORRES
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Gender | Male
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 3150 ANTHONY RD HWY 460
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City | ANTHONY
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State | NM
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Zip | 88021
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Country | US
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Telephone | 575-635-7782
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 S SOLANO
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City | LAS CRUCES
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State | NM
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Zip | 88001
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Country | US
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Telephone | 575-527-7900
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Fax | 575-571-4873
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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