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General NPI Number Information
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NPI Number | 1376560896
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Entity Type | Organization
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Legal Business Name | VILLAFLOR & VILLAFLOR A PROF CORP
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3650 S EASTERN AVE SUITE 210
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City | LAS VEGAS
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State | NV
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Zip | 89109-3379
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Country | US
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Telephone | 702-796-4007
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Fax | 702-796-3993
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Provider Business Mailing Address
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Address Line | 3650 S EASTERN AVE SUITE 210
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City | LAS VEGAS
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State | NV
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Zip | 89109-3379
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Country | US
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Telephone | 702-796-4007
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Fax | 702-796-3993
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FLORENCE M VILLAFLOR
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Credential | MD
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Telephone | 702-796-4007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | NV6918
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License Number State |
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