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General NPI Number Information
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NPI Number | 1356840417
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Entity Type | Individual
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Provider Name | ERICK TORRES
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Gender | Male
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Dates
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Enumeration Date | 02/05/2018
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Last Update Date | 02/05/2018
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Provider Practice Location Address
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Address Line | 3230 ORANGE DR
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City | CAMARILLO
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State | CA
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Zip | 93010-1322
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Country | US
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Telephone | 805-407-4533
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 KINGSTON LN
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City | VENTURA
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State | CA
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Zip | 93001-4020
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Country | US
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Telephone | 805-607-9902
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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 |
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License Number State | CA
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