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General NPI Number Information
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NPI Number | 1689589111
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Entity Type | Individual
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Provider Name | JOELYN R VILLANUEVA
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 3870 MURPHY CANYON RD STE 320-325
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City | SAN DIEGO
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State | CA
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Zip | 92123-4446
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Country | US
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Telephone | 858-300-0460
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Fax |
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Provider Business Mailing Address
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Address Line | 1554 SAMS HILL RD APT 8
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City | EL CAJON
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State | CA
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Zip | 92021-3074
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Country | US
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Telephone |
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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