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General NPI Number Information
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NPI Number | 1427394766
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Entity Type | Individual
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Provider Name | TERESA A VILLANO NP
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Gender | Female
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Dates
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Enumeration Date | 12/13/2012
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Last Update Date | 07/31/2015
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Provider Practice Location Address
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Address Line | 4677 TOWNE CENTRE RD SUITE 102
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City | SAGINAW
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State | MI
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Zip | 48604-2846
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Country | US
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Telephone | 989-790-0517
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Fax | 989-790-0261
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Provider Business Mailing Address
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Address Line | 4677 TOWNE CENTRE RD SUITE 102
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City | SAGINAW
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State | MI
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Zip | 48604-2846
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Country | US
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Telephone | 989-790-0517
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Fax | 989-790-0261
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704149938
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License Number State | MI
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