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General NPI Number Information
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NPI Number | 1386577989
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Entity Type | Individual
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Provider Name | JUSTIN TORRES PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 1755 COBURG RD UNIT 301
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City | EUGENE
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State | OR
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Zip | 97401-4900
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Country | US
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Telephone | 888-468-9669
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Fax |
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Provider Business Mailing Address
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Address Line | 332 FILMORE DR
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City | JACKSONVILLE
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State | FL
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Zip | 32225-3390
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Country | US
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Telephone | 904-416-7589
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10058393
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9488025
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License Number State | FL
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