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General NPI Number Information
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NPI Number | 1194557835
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Entity Type | Individual
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Provider Name | CHRISTIAN VILLAR DPT
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Gender | Male
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Dates
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Enumeration Date | 08/19/2024
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 2414 ENTERPRISE RD
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City | CLEARWATER
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State | FL
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Zip | 33763-1751
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Country | US
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Telephone | 727-461-6026
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Fax | 727-796-4345
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Provider Business Mailing Address
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Address Line | 5901 E FOWLER AVE STE 100
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-2305
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Country | US
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Telephone | 813-978-9700
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Fax | 813-972-2078
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT42146
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License Number State | FL
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