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NPI 1780792184

NPI 1780792184 : NANCY H TORRES DDS : STUART, FL

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General NPI Number Information
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    NPI Number           |    1780792184
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    Entity Type          |    Individual 
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    Provider Name        |    NANCY H TORRES DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/26/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    413 SE COCONUT AVE 
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    City                 |    STUART
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    State                |    FL
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    Zip                  |    34996-2547
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    Country              |    US
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    Telephone            |    772-283-1230
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    Fax                  |    772-283-1325
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Provider Business Mailing Address
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    Address Line         |    413 SE COCONUT AVE 
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    City                 |    STUART
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    State                |    FL
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    Zip                  |    34996-2547
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    Country              |    US
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    Telephone            |    772-283-1230
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    Fax                  |    772-283-1325
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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        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    T620628588290
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    License Number State |    FL
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