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General NPI Number Information
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NPI Number | 1023274297
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Entity Type | Individual
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Provider Name | EDUARDO JAVIER VILLEDA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1323 HAMRIC DR E STE A
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City | OXFORD
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State | AL
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Zip | 36203-1917
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Country | US
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Telephone | 256-365-2416
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Fax | 256-365-2426
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Provider Business Mailing Address
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Address Line | 1323 HAMRIC DR E STE A
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City | OXFORD
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State | AL
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Zip | 36203-1917
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Country | US
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Telephone | 256-365-2416
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Fax | 256-365-2426
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD.29053
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License Number State | AL
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