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General NPI Number Information
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NPI Number | 1821889585
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Entity Type | Individual
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Provider Name | RANDY TORRES JR. FNP-C
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Gender | Male
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 1510 E FLOWER ST
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City | PHOENIX
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State | AZ
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Zip | 85014-5656
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Country | US
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Telephone | 602-954-0444
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Fax |
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Provider Business Mailing Address
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Address Line | 2113 S 114TH AVE
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City | AVONDALE
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State | AZ
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Zip | 85323-9181
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Country | US
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Telephone | 623-433-6783
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 324485
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 324485
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 324485
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License Number State | AZ
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