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General NPI Number Information
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NPI Number | 1952126096
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Entity Type | Individual
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Provider Name | KEVIN TORRES VILLEGA FNP, APRN-BC
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Gender | Male
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 9803 HIGHWAY 242
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City | CONROE
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State | TX
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Zip | 77385-4368
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Country | US
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Telephone | 407-693-2819
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Fax |
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Provider Business Mailing Address
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Address Line | 9803 HIGHWAY 242
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City | CONROE
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State | TX
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Zip | 77385-4368
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Country | US
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Telephone | 407-693-2819
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11036539
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1192010
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License Number State | TX
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