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General NPI Number Information
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NPI Number | 1992480990
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Entity Type | Individual
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Provider Name | TORREY DOOLEY NP
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Gender | Male
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 12/10/2023
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Provider Practice Location Address
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Address Line | 461 TENNESSEE ST STE C
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City | REDLANDS
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State | CA
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Zip | 92373-8161
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Country | US
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Telephone | 909-475-7371
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Fax |
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Provider Business Mailing Address
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Address Line | 24740 WARD ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92410-5032
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Country | US
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Telephone | 503-484-4536
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95028019
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95232585
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License Number State | CA
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