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General NPI Number Information
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NPI Number | 1932688538
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Entity Type | Individual
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Provider Name | COLLEEN ANN TORRENCE M.ED, LBS
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Gender | Female
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 121 PENNSYLVANIA AVE
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City | WAYNE
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State | PA
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Zip | 19087-3516
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Country | US
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Telephone | 610-687-2488
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Fax |
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Provider Business Mailing Address
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Address Line | 2909 RISING SUN RD
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City | ARDMORE
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State | PA
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Zip | 19003-1822
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Country | US
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Telephone | 610-761-6178
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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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