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General NPI Number Information
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NPI Number | 1487791356
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Entity Type | Individual
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Provider Name | JESUS ABEL VILLEGAS DDS
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/05/2014
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Provider Practice Location Address
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Address Line | 209 BOSTON POST RD 201
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City | MILFORD
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State | CT
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Zip | 06460-3161
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Country | US
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Telephone | 203-783-9994
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Fax |
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Provider Business Mailing Address
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Address Line | 209 BOSTON POST RD 201
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City | MILFORD
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State | CT
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Zip | 06460-3161
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Country | US
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Telephone | 203-783-9994
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 008668
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License Number State | CT
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