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General NPI Number Information
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NPI Number | 1972786390
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Entity Type | Individual
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Provider Name | TRACI L TORRES CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 3415 W BALL RD
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City | ANAHEIM
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State | CA
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Zip | 92804-3708
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Country | US
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Telephone | 330-933-6464
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Fax |
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Provider Business Mailing Address
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Address Line | 1837 ORIZABA AVE
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City | SIGNAL HILL
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State | CA
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Zip | 90755-1201
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Country | US
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Telephone | 330-933-6464
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP.8823
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 17110
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License Number State | CA
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