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General NPI Number Information
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NPI Number | 1063119337
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Entity Type | Individual
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Provider Name | OSMEL VILLARREAL
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Gender | Male
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 2121 E FLAMINGO RD STE 218
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City | LAS VEGAS
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State | NV
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Zip | 89119-5124
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Country | US
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Telephone | 702-000-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 E TROPICANA AVE STE 345
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City | LAS VEGAS
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State | NV
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Zip | 89119-6542
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Country | US
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Telephone | 702-902-0304
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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