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General NPI Number Information
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NPI Number | 1699938647
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Entity Type | Organization
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Legal Business Name | ALBERT C. LATORRE, JR. D.D.S.
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 04/11/2013
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Provider Practice Location Address
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Address Line | 2289 STREET RD
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City | WARRINGTON
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State | PA
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Zip | 18976-2338
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Country | US
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Telephone | 215-491-0502
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Fax | 215-491-2277
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Provider Business Mailing Address
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Address Line | 2289 STREET RD
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City | WARRINGTON
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State | PA
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Zip | 18976-2338
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Country | US
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Telephone | 215-491-0502
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Fax | 215-491-2277
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Authorized Official
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Title or Position | DENTIST
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Name | ALBERT C. LATORRE
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Credential | D.D.S.
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Telephone | 215-491-0502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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