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General NPI Number Information
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NPI Number | 1588538532
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Entity Type | Individual
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Provider Name | MIRANDA VILLEGAS
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Gender | Female
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 3663 WASHINGTON AVE STE 100
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City | HOUSTON
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State | TX
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Zip | 77007-6469
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Country | US
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Telephone | 713-426-1961
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Fax |
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Provider Business Mailing Address
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Address Line | 3663 WASHINGTON AVE STE 100
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City | HOUSTON
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State | TX
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Zip | 77007-6469
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Country | US
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Telephone | 713-426-1961
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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 | 319996
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 45441
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License Number State | TX
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