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General NPI Number Information
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NPI Number | 1922048677
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Entity Type | Organization
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Legal Business Name | CARL B TOREN MD
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 556 E 115TH ST
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City | CHICAGO
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State | IL
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Zip | 60628-5740
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Country | US
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Telephone | 773-785-6800
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Fax | 773-978-8186
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Provider Business Mailing Address
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Address Line | 556 E 115TH ST
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City | CHICAGO
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State | IL
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Zip | 60628-5740
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WENDY COX
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Credential |
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Telephone | 773-768-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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