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General NPI Number Information
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NPI Number | 1104762871
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Entity Type | Individual
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Provider Name | CASSANDRA MARIA VILLA BSN RN
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Gender | Female
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 6010 W AMARILLO BLVD
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City | AMARILLO
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State | TX
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Zip | 79106-1990
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Country | US
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Telephone | 806-355-9703
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Fax |
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Provider Business Mailing Address
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Address Line | 5100 W YUCCA AVE
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City | AMARILLO
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State | TX
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Zip | 79124-5826
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Country | US
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Telephone | 806-220-6997
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 770694
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License Number State | TX
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