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General NPI Number Information
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NPI Number | 1700827128
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Entity Type | Individual
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Provider Name | CARL BENJAMIN TOREN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 1313 W CHICAGO AVE
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City | EAST CHICAGO
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State | IN
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Zip | 46312-3316
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Country | US
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Telephone | 219-398-9685
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Fax | 219-398-9695
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Provider Business Mailing Address
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Address Line | 1313 W CHICAGO AVE
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City | EAST CHICAGO
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State | IN
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Zip | 46312-3316
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Country | US
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Telephone | 219-398-9685
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Fax | 219-398-9695
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036071979
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 01076387A
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License Number State | IN
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