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General NPI Number Information
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NPI Number | 1376404798
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Entity Type | Individual
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Provider Name | IVAN DEVIN TORRES
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Gender | Male
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1752 E BULLARD AVE STE 102
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City | FRESNO
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State | CA
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Zip | 93710-5864
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Country | US
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Telephone | 559-330-1157
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Fax |
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Provider Business Mailing Address
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Address Line | 924 I ST
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City | SANGER
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State | CA
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Zip | 93657-3238
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Country | US
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Telephone |
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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 | BACB1027440
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License Number State | CA
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