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General NPI Number Information
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NPI Number | 1528573912
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Entity Type | Individual
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Provider Name | BRENDA NOHELIA TORRES LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 10950 CHURCH ST APT 4411
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-8907
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Country | US
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Telephone | 562-447-5144
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Fax |
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Provider Business Mailing Address
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Address Line | 10950 CHURCH ST APT 4411
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-8907
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 110235
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License Number State | CA
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