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General NPI Number Information
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NPI Number | 1457816183
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Entity Type | Individual
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Provider Name | ESPELITO CERENO TORREGOZA JR. PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/06/2019
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 550 GREENS PKWY STE 150
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City | HOUSTON
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State | TX
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Zip | 77067-4532
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Country | US
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Telephone | 713-486-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 2711 CANE FIELD DR
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City | SUGAR LAND
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State | TX
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Zip | 77479-1429
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Country | US
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Telephone | 714-900-1694
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1025844
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License Number State | TX
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