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General NPI Number Information
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NPI Number | 1205024171
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Entity Type | Individual
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Provider Name | VIRGINIA VILLEGAS RNC, NP
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Gender | Female
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 4156 S CENTRAL AVE
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City | LOS ANGELES
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State | CA
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Zip | 90011-3154
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Country | US
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Telephone | 323-454-2388
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Fax |
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Provider Business Mailing Address
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Address Line | 411 SIERRA VISTA AVE
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City | MONROVIA
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State | CA
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Zip | 91016-2310
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Country | US
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Telephone | 310-291-7518
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 17504
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License Number State | CA
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