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General NPI Number Information
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NPI Number | 1952485724
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Entity Type | Individual
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Provider Name | GRISEL MARIE TORRES TOMASSINI M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 03/11/2011
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Provider Practice Location Address
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Address Line | AMERICO SALAS STREET #1452
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City | SAN JUAN
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State | PR
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Zip | 00909
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Country | US
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Telephone | 787-722-1460
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Fax | 787-726-5223
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Provider Business Mailing Address
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Address Line | AVENUE AMERICO MIRANDA #1583 APT. B CAPARRA TERRACE
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City | SAN JUAN
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State | PR
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Zip | 00921
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Country | US
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Telephone | 787-528-4593
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Fax | 787-726-5223
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 16595
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License Number State | PR
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