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NPI 1952947863

NPI 1952947863 : LUISA ANGELES COLLINS VILLARES APRN,FNP-C, PMHNP-BC : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1952947863
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    Entity Type          |    Individual 
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    Provider Name        |    LUISA ANGELES COLLINS VILLARES APRN,FNP-C, PMHNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/26/2019
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    Last Update Date     |    08/22/2023
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Provider Practice Location Address
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    Address Line         |    7777 FOREST LN STE 833 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75230-2571
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    Country              |    US
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    Telephone            |    972-566-4591
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6805 MAIN ST. STE 430 #660
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    City                 |    THE COLONY
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    State                |    TX
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    Zip                  |    75056
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    Country              |    US
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    Telephone            |    210-643-9297
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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       |    AP144075
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    864922
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    AP144075
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    License Number State |    TX
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