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General NPI Number Information
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NPI Number | 1275710055
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Entity Type | Organization
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Legal Business Name | ROBERTO VILLEGAS, JR., M.D. NEONATOLOGY, P.A.
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 10710 MCPHERSON RD SUITE 204
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City | LAREDO
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State | TX
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Zip | 78045-6271
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Country | US
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Telephone | 956-795-1440
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Fax | 956-795-0092
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Provider Business Mailing Address
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Address Line | 2320 MIDDLECOFF LN
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City | LAREDO
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State | TX
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Zip | 78045-8159
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Country | US
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Telephone | 956-791-5429
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERTO VILLEGAS JR.
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Credential | M.D.
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Telephone | 956-791-5429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | L5942
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License Number State | TX
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