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General NPI Number Information
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NPI Number | 1316741481
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Entity Type | Individual
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Provider Name | RUBEN TORRES JR. CRPA
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Gender | Male
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 190 MERCER ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10012-1502
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Country | US
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Telephone | 212-677-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 190 MERCER ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10012-1502
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Country | US
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Telephone | 212-677-3400
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Fax | 212-995-5510
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | CRPA-3198
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License Number State | NY
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