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General NPI Number Information
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NPI Number | 1114557188
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Entity Type | Individual
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Provider Name | STEVEN VILLARREAL RPH
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Gender | Male
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Dates
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Enumeration Date | 01/18/2020
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Last Update Date | 01/18/2020
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Provider Practice Location Address
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Address Line | 1550 W GRAND PKWY S
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City | KATY
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State | TX
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Zip | 77494-8257
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Country | US
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Telephone | 281-693-0606
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Fax | 281-693-7196
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Provider Business Mailing Address
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Address Line | 27203 STONE HARBOUR LN
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City | KATY
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State | TX
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Zip | 77494-3692
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Country | US
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Telephone | 281-851-5795
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 30742
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License Number State | TX
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