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NPI 1093393019

NPI 1093393019 : MARLENE S TORRES MD : NEW HAVEN, CT

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General NPI Number Information
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    NPI Number           |    1093393019
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    Entity Type          |    Individual 
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    Provider Name        |    MARLENE S TORRES MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/31/2021
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    Last Update Date     |    07/07/2025
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Provider Practice Location Address
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    Address Line         |    34 PARK ST 
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    City                 |    NEW HAVEN
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    State                |    CT
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    Zip                  |    06519-1109
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    Country              |    US
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    Telephone            |    415-514-0429
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    Fax                  |    432-201-7393
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Provider Business Mailing Address
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    Address Line         |    300 GEORGE ST STE 901 
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    City                 |    NEW HAVEN
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    State                |    CT
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    Zip                  |    06511-6662
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    Country              |    US
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    Telephone            |    
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    A196959
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    82299
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    License Number State |    CT
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