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General NPI Number Information
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NPI Number | 1699565952
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Entity Type | Organization
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Legal Business Name | NOELLE VILLANUEVA LMFT INC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 7100 CAMINO REAL STE 401
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City | BOCA RATON
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State | FL
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Zip | 33433-5510
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Country | US
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Telephone | 646-522-9274
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Fax |
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Provider Business Mailing Address
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Address Line | 4006 NW 24TH TER
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City | BOCA RATON
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State | FL
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Zip | 33431-5438
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Country | US
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Telephone | 646-522-9274
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NOELLE VILLANUEVA
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Credential |
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Telephone | 646-522-9274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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