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NPI 1255133716

NPI 1255133716 : JENNIFER TORRES : PALMETTO BAY, FL

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General NPI Number Information
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    NPI Number           |    1255133716
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER TORRES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/26/2025
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    Last Update Date     |    03/26/2025
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Provider Practice Location Address
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    Address Line         |    8950 SW 152ND ST 
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    City                 |    PALMETTO BAY
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    State                |    FL
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    Zip                  |    33157-2064
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    Country              |    US
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    Telephone            |    305-992-4786
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    Fax                  |    786-678-0789
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Provider Business Mailing Address
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    Address Line         |    9511 TONI DR 
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    City                 |    CUTLER BAY
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    State                |    FL
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    Zip                  |    33157-8755
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    Country              |    US
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    Telephone            |    786-642-1953
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    25404080
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    License Number State |    FL
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