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General NPI Number Information
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NPI Number | 1366885089
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Entity Type | Individual
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Provider Name | MATTHEW JAMES VILLEGAS L.M.T.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1441 YORK ST STE 302
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City | DENVER
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State | CO
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Zip | 80206-2127
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Country | US
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Telephone | 505-417-4609
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Fax |
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Provider Business Mailing Address
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Address Line | 2315 N HIGH ST
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City | DENVER
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State | CO
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Zip | 80205-5561
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Country | US
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Telephone | 505-417-4609
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT0026791
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License Number State | CO
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