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General NPI Number Information
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NPI Number | 1265095160
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Entity Type | Individual
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Provider Name | MARCOS DANIEL VILLARREAL MD
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Gender | Male
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1101 SAM PERRY BLVD STE 305
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4465
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Country | US
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Telephone | 540-374-3290
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 RED RIVER ST UT AUSTIN DELL MEDICAL SCHOOL SETON INTERNAL MEDICINE
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City | AUSTIN
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State | TX
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Zip | 78701-1918
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35091
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101284157
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10067181
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | C1-0028811
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License Number State | DE
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