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General NPI Number Information
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NPI Number | 1932480399
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Entity Type | Individual
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Provider Name | GLORIA JEAN TORRES RPH
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Gender | Female
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Dates
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Enumeration Date | 08/30/2011
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Last Update Date | 08/30/2011
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Provider Practice Location Address
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Address Line | 1801 SOUTH ST
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City | LAFAYETTE
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State | IN
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Zip | 47904-2962
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Country | US
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Telephone | 765-448-1366
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Fax |
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Provider Business Mailing Address
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Address Line | 3366 WHIRLAWAY CT
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City | WEST LAFAYETTE
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State | IN
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Zip | 47906-4684
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Country | US
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Telephone | 765-497-1007
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26019977A
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License Number State | IN
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