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General NPI Number Information
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NPI Number | 1104716935
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Entity Type | Individual
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Provider Name | MATTHEW TORRES LMT, MMT
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Gender | Male
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 4039 13TH ST
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City | SAINT CLOUD
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State | FL
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Zip | 34769-6772
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Country | US
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Telephone | 407-957-1337
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Fax |
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Provider Business Mailing Address
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Address Line | 3810 MARIETTA WAY
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City | SAINT CLOUD
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State | FL
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Zip | 34772-8711
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Country | US
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Telephone | 407-973-5312
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA104702
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License Number State | FL
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