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General NPI Number Information
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NPI Number | 1154535839
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Entity Type | Individual
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Provider Name | JENNIFER BAIRD TORRES
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | 2116 - 2118 S. CENTRAL AVE
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City | LOS ANGELES
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State | CA
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Zip | 90001
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Country | US
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Telephone | 213-493-4664
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Fax | 818-506-5185
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Provider Business Mailing Address
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Address Line | 2116 - 2118 S. CENTRAL AVE
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City | LOS ANGELES
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State | CA
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Zip | 90001
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Country | US
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Telephone | 213-493-4664
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Fax | 213-493-4665
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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