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General NPI Number Information
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NPI Number | 1053567917
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Entity Type | Individual
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Provider Name | MARCELLO TORRES P.T.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2008
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 600 S PINE ISLAND RD S300
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City | PLANTATION
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State | FL
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Zip | 33324-3166
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Country | US
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Telephone | 954-473-6344
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Fax | 954-476-9077
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Provider Business Mailing Address
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Address Line | 1616 LA COSTA DR
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City | WESTON
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State | FL
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Zip | 33326
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Country | US
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Telephone | 954-654-4190
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT16437
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License Number State | FL
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