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General NPI Number Information
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NPI Number | 1154518207
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Entity Type | Organization
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Legal Business Name | RH VILLAROSA, M.D., INC.
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 255 TERRACINA BLVD STE 207
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City | REDLANDS
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State | CA
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Zip | 92373-4870
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Country | US
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Telephone | 909-793-2226
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Fax | 909-793-3336
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Provider Business Mailing Address
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Address Line | 255 TERRACINA BLVD STE 207
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City | REDLANDS
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State | CA
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Zip | 92373-4870
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Country | US
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Telephone | 909-793-2226
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Fax | 909-793-3336
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAFAEL VILLAROSA
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Credential | M.D.
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Telephone | 909-793-2226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C50463
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License Number State | CA
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