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General NPI Number Information
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NPI Number | 1043640006
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Entity Type | Individual
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Provider Name | VANESSA VILLEGAS
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Gender | Female
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 8220 S SAN PEDRO ST
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City | LOS ANGELES
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State | CA
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Zip | 90003-3030
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Country | US
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Telephone | 323-229-3788
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Fax | 323-778-0485
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Provider Business Mailing Address
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Address Line | 9343 TECH CENTER DR
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City | SACRAMENTO
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State | CA
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Zip | 95826-2563
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Country | US
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Telephone | 916-206-8395
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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