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General NPI Number Information
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NPI Number | 1558496778
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Entity Type | Organization
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Legal Business Name | OSCAR VILLEDA, ALEJANDRO VILLEDA
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3708 EAST BUSINESS 83
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City | DONNA
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State | TX
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Zip | 78537
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Country | US
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Telephone | 956-973-1713
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Fax | 956-973-1759
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Provider Business Mailing Address
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Address Line | PO BOX 8322
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City | WESLACO
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State | TX
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Zip | 78599-8322
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Country | US
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Telephone | 956-973-1713
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Fax | 956-973-1759
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Authorized Official
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Title or Position | OWNER
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Name | OSCAR VILLEDA
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Credential |
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Telephone | 956-973-1713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 010191
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License Number State | TX
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