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General NPI Number Information
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NPI Number | 1851680490
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Entity Type | Individual
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Provider Name | BRENDA YANIRA TORRES CPL
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Gender | Female
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | CARR. 149 KM. 57.3
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City | VILLALBA
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State | PR
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Zip | 00766
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Country | US
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Telephone | 787-314-2029
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Fax |
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Provider Business Mailing Address
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Address Line | EST DEL MAYORAL CALLE CANAVERAL 12095
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City | VILLALBA
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State | PR
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Zip | 00766
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Country | US
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Telephone | 787-314-2029
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2236
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License Number State | PR
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