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General NPI Number Information
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NPI Number | 1962646331
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Entity Type | Individual
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Provider Name | ABIGAIL TORRES RPA-C
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Gender | Female
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 04/28/2009
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Provider Practice Location Address
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Address Line | 9207 ROOSEVELT AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7941
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Country | US
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Telephone | 178-396-3241
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Fax | 718-396-3173
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Provider Business Mailing Address
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Address Line | 6601 BURNS ST APT. 6F
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City | REGO PARK
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State | NY
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Zip | 11374-3948
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Country | US
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Telephone | 718-897-7345
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 005337
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License Number State | NY
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