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General NPI Number Information
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NPI Number | 1477153682
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Entity Type | Individual
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Provider Name | JUAN MIGUEL TORRES
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Gender | Male
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 274 KINGS HWY STE 126-A
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City | BROWNSVILLE
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State | TX
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Zip | 78521-5698
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Country | US
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Telephone | 956-459-7133
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Fax | 956-306-6716
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Provider Business Mailing Address
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Address Line | 6724 GEORGIA PNE
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3018
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Country | US
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Telephone | 956-459-7133
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Fax | 956-306-6716
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 019693
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License Number State | TX
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