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General NPI Number Information
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NPI Number | 1053263673
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Entity Type | Organization
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Legal Business Name | VILA VICTORIA INC.
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Dates
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Enumeration Date | 02/14/2026
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Last Update Date | 02/14/2026
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Provider Practice Location Address
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Address Line | 393 E SAN FERNANDO ST
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City | SAN JOSE
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State | CA
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Zip | 95112-3510
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Country | US
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Telephone | 408-271-9244
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Fax |
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Provider Business Mailing Address
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Address Line | 393 E SAN FERNANDO ST
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City | SAN JOSE
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State | CA
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Zip | 95112-3510
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSEE
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Name | CYRIL INNEH
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Credential |
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Telephone | 408-903-3151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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