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General NPI Number Information
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NPI Number | 1649960741
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Entity Type | Individual
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Provider Name | ALBERTO VILLARREAL
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Gender | Male
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 3510 MAIN ST STE E
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City | HOUSTON
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State | TX
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Zip | 77002-9568
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Country | US
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Telephone | 713-249-4047
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Fax |
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Provider Business Mailing Address
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Address Line | 711 ARKANSAS ST
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City | SOUTH HOUSTON
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State | TX
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Zip | 77587-4911
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Country | US
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Telephone | 713-249-4047
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 24828
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License Number State | TX
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