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General NPI Number Information
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NPI Number | 1700674413
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Entity Type | Individual
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Provider Name | MARISSA TORRES BARRANCO
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Gender | Female
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 17528 HAWTHORNE BLVD
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City | TORRANCE
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State | CA
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Zip | 90504-3110
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Country | US
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Telephone | 310-379-8305
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Fax |
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Provider Business Mailing Address
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Address Line | 1302 STEWART ST
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City | OCEANSIDE
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State | CA
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Zip | 92054-5448
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Country | US
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Telephone | 760-586-0391
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA9085
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License Number State | CA
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