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General NPI Number Information
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NPI Number | 1437341682
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Entity Type | Individual
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Provider Name | ANA VILLARREAL PT
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Gender | Female
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 2861 WEST RD
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City | TRENTON
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State | MI
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Zip | 48183-2400
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Country | US
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Telephone | 734-675-2262
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Fax | 734-675-3430
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Provider Business Mailing Address
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Address Line | 10000 TELEGRAPH RD
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City | TAYLOR
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State | MI
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Zip | 48180-3330
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Country | US
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Telephone | 313-295-6736
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501004563
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License Number State | MI
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