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General NPI Number Information
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NPI Number | 1871696435
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Entity Type | Individual
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Provider Name | RANDALL PATRICIO TORRES PSYD
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Gender | Male
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 2153 ARNOLD WAY
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City | ALPINE
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State | CA
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Zip | 91901-2157
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Country | US
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Telephone | 619-995-6239
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Fax | 619-659-8187
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Provider Business Mailing Address
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Address Line | PO BOX 182
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City | ALPINE
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State | CA
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Zip | 91903-0182
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Country | US
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Telephone | 619-995-6239
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Fax | 619-659-8187
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSB32123
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 31823
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 31823
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS31823
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 31823
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 31823
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY31823
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License Number State | CA
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