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General NPI Number Information
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NPI Number | 1417699190
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Entity Type | Individual
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Provider Name | MARILOU VILLAREAL RN, BSN
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Gender | Female
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 7 CLEVELAND ST
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City | CALDWELL
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State | NJ
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Zip | 07006-4909
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Country | US
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Telephone | 973-226-9090
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Fax | 973-226-9093
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Provider Business Mailing Address
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Address Line | 7 CLEVELAND ST
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City | CALDWELL
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State | NJ
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Zip | 07006-4909
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Country | US
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Telephone | 973-226-9090
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Fax | 973-226-9093
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HP0119000
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License Number State | NJ
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