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General NPI Number Information
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NPI Number | 1124842562
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Entity Type | Individual
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Provider Name | YVONNE VILLANI CMF
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 615 W MACPHAIL RD STE 103
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City | BEL AIR
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State | MD
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Zip | 21014-4305
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Country | US
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Telephone | 443-553-6529
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Fax |
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Provider Business Mailing Address
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Address Line | 215 FINEBURG RD
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City | NORTH EAST
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State | MD
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Zip | 21901-2622
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Country | US
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Telephone | 443-504-2214
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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 | 224900000X
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Taxonomy Name | Mastectomy Fitter
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License Number | 000843236I
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License Number State | MD
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