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NPI 1922077866

NPI 1922077866 : MICHAEL D. TORRENCE O.D. : HUTCHINSON, KS

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General NPI Number Information
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    NPI Number           |    1922077866
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL D. TORRENCE O.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/14/2006
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    Last Update Date     |    07/23/2009
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Provider Practice Location Address
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    Address Line         |    2311 N WALDRON ST 
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    City                 |    HUTCHINSON
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    State                |    KS
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    Zip                  |    67502-1133
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    Country              |    US
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    Telephone            |    620-663-4467
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    Fax                  |    620-663-5007
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Provider Business Mailing Address
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    Address Line         |    2311 N WALDRON ST 
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    City                 |    HUTCHINSON
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    State                |    KS
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    Zip                  |    67502-1133
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    Country              |    US
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    Telephone            |    620-663-4467
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    Fax                  |    620-663-5007
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    950-3
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    License Number State |    KS
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