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General NPI Number Information
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NPI Number | 1114005931
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Entity Type | Individual
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Provider Name | ROSITA VILLEGAS VILLANUEVA M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 4200 WARRENSVILLE CENTER RD SUITE# 380
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City | BEACHWOOD
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State | OH
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Zip | 44122-7051
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Country | US
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Telephone | 216-283-5144
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Fax | 216-283-5750
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Provider Business Mailing Address
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Address Line | 4200 WARRENSVILLE CENTER RD SUITE# 380
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City | WARRENSVILLE HEIGHTS
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State | OH
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Zip | 44122-7051
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Country | US
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Telephone | 216-283-5144
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Fax | 216-283-5750
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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 | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 35032999
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License Number State | OH
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