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General NPI Number Information
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NPI Number | 1487481594
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Entity Type | Individual
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Provider Name | ZETTE C VILLAFLOR CPHT
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Gender | Female
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Dates
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Enumeration Date | 09/14/2024
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 211405 E 193 PR SE
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City | KENNEWICK
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State | WA
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Zip | 99337-7057
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Country | US
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Telephone | 509-715-7303
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Fax |
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Provider Business Mailing Address
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Address Line | 211405 E 193 PR SE
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City | KENNEWICK
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State | WA
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Zip | 99337-7057
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Country | US
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Telephone | 509-715-7303
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | CPT-0015082
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License Number State | OR
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