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General NPI Number Information
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NPI Number | 1629947601
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Entity Type | Individual
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Provider Name | JONATHAN TORRES
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Gender | Male
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 43 WOODLAND ST
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City | HARTFORD
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State | CT
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Zip | 06105-2363
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Country | US
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Telephone | 860-931-9611
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Fax |
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Provider Business Mailing Address
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Address Line | 158 S CENTER ST
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City | WINDSOR LOCKS
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State | CT
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Zip | 06096-2708
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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