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General NPI Number Information
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NPI Number | 1831857796
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Entity Type | Individual
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Provider Name | PEDRO DANIEL TORRES
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Gender | Male
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 615 W MISSOURI AVE
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City | MIDLAND
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State | TX
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Zip | 79701-5017
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Country | US
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Telephone | 432-240-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 5001 W WADLEY AVE APT P211
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City | MIDLAND
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State | TX
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Zip | 79707-5174
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Country | US
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Telephone | 432-212-5132
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 117046
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License Number State | TX
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