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General NPI Number Information
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NPI Number | 1588286611
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Entity Type | Individual
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Provider Name | MARISSA TORRES BS
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Gender | Female
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1201 US HIGHWAY 1 STE 210
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-3547
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Country | US
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Telephone | 561-776-8612
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Fax |
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Provider Business Mailing Address
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Address Line | 111 E LAKE MARY BLVD
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City | SANFORD
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State | FL
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Zip | 32773-7111
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Country | US
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Telephone | 407-203-9492
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Fax | 321-332-9768
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ13136
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License Number State | FL
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