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General NPI Number Information
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NPI Number | 1285928739
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Entity Type | Organization
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Legal Business Name | SILVIA M VILLEGAS MD INC
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Dates
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Enumeration Date | 06/01/2011
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Last Update Date | 06/01/2011
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Provider Practice Location Address
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Address Line | 777 E 25TH ST UNIT 209
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City | HIALEAH
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State | FL
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Zip | 33013-3825
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Country | US
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Telephone | 786-371-9973
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Fax |
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Provider Business Mailing Address
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Address Line | 777 E 25TH ST UNIT 209
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City | HIALEAH
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State | FL
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Zip | 33013-3825
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Country | US
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Telephone | 786-371-9973
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER/PRESIDENT
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Name | SILVIA MARIE VILLEGAS
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Credential | MD
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Telephone | 786-371-9973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | ME105843
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License Number State | FL
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