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General NPI Number Information
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NPI Number | 1043729007
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Entity Type | Individual
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Provider Name | IVAN NOE TORRES LMHC
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Gender | Male
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 09/21/2017
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Provider Practice Location Address
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Address Line | 254 MERIDA DR
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City | ANTHONY
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State | NM
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Zip | 88021-8225
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Country | US
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Telephone | 575-649-9327
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Fax |
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Provider Business Mailing Address
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Address Line | 945 S MESA HILLS DR APT 3215
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City | EL PASO
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State | TX
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Zip | 79912-5197
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Country | US
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Telephone | 915-491-1834
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0191561
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License Number State | NM
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