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General NPI Number Information
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NPI Number | 1982571642
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Entity Type | Individual
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Provider Name | MICHAEL FONTAINE TORREY RN
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Gender | Male
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Dates
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Enumeration Date | 10/18/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 2410 SAMARITAN DR STE 100
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City | SAN JOSE
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State | CA
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Zip | 95124-3909
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Country | US
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Telephone | 408-369-9798
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Fax | 408-369-9895
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Provider Business Mailing Address
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Address Line | 34189 GANNON TER
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City | FREMONT
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State | CA
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Zip | 94555-1944
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Country | US
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Telephone | 510-402-3162
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 303248
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License Number State | CA
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