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General NPI Number Information
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NPI Number | 1467535112
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Entity Type | Individual
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Provider Name | RAUL IVAN VILA M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 2500 SW 75TH AVE
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City | MIAMI
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State | FL
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Zip | 33155-2805
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Country | US
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Telephone | 305-264-5252
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Fax | 305-266-1290
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Provider Business Mailing Address
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Address Line | 3450 BUSCHWOOD PARK DR STE 150
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City | TAMPA
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State | FL
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Zip | 33618-4465
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Country | US
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Telephone | 813-935-8501
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Fax | 813-935-8541
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME0049181
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License Number State | FL
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