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General NPI Number Information
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NPI Number | 1699395236
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Entity Type | Individual
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Provider Name | MARK ERNEST TORRE M.ED., L.M.H.C. MCAP
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Gender | Male
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 4362 NORTHLAKE BLVD STE 101
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-6270
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Country | US
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Telephone | 973-903-6366
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Fax |
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Provider Business Mailing Address
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Address Line | 801 LAKE SHORE DR APT 611
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City | WEST PALM BEACH
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State | FL
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Zip | 33403-2930
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Country | US
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Telephone | 973-903-6366
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH17015
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License Number State | FL
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