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General NPI Number Information
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NPI Number | 1427399153
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Entity Type | Organization
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Legal Business Name | BEATRIZ L. VILLAFANE, MD, PA
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Dates
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Enumeration Date | 03/05/2013
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Last Update Date | 05/13/2015
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Provider Practice Location Address
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Address Line | 735 COMMERCE CENTER DR SUITE A
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City | SEBASTIAN
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State | FL
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Zip | 32958-3136
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Country | US
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Telephone | 954-443-1988
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Fax |
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Provider Business Mailing Address
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Address Line | 15460 NW 83RD PL
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5836
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Country | US
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Telephone | 786-202-0246
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Fax | 954-443-1989
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Authorized Official
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Title or Position | OWNER
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Name | DR. BEATRIZ LILIANA VILLAFANE
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Credential | MD
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Telephone | 786-202-0246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME86717
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License Number State | FL
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