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General NPI Number Information
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NPI Number | 1588526073
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Entity Type | Individual
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Provider Name | TORREN SORRELL LMT
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Gender | Male
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 90971 S WILLAMETTE ST
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City | COBURG
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State | OR
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Zip | 97408-9206
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Country | US
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Telephone | 833-628-5433
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Fax | 833-628-5433
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Provider Business Mailing Address
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Address Line | 2248 WILLONA DR
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City | EUGENE
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State | OR
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Zip | 97408-4733
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Country | US
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Telephone | 833-628-5433
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Fax | 833-628-5433
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 27297
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License Number State | OR
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