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General NPI Number Information
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NPI Number | 1285989491
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Entity Type | Individual
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Provider Name | JENNIFER TORRES PA
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Gender | Female
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 4700 CAMPUS VILLAGE DR STE 100
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City | ROUND ROCK
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State | TX
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Zip | 78665-3025
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Country | US
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Telephone | 512-439-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 SETON CENTER PKWY STE 200
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City | AUSTIN
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State | TX
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Zip | 78759-4107
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Country | US
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Telephone | 512-439-1000
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 22577
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 22577
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA15789
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License Number State | TX
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