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General NPI Number Information
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NPI Number | 1114137809
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Entity Type | Individual
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Provider Name | ADRIANA MARIA VILLA M.D
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 3661 S MIAMI AVE STE 306
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City | MIAMI
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State | FL
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Zip | 33133-4232
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Country | US
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Telephone | 305-606-2924
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 PARK AVE
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City | MIAMI
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State | FL
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Zip | 33133-6436
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Country | US
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Telephone | 305-606-2924
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME 101671
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License Number State | FL
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