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General NPI Number Information
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NPI Number | 1710100102
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Entity Type | Individual
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Provider Name | ELENA P VILLANUEVA D.C.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 3267 BEE CAVES RD STE 107-187
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City | AUSTIN
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State | TX
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Zip | 78746-6700
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Country | US
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Telephone | 512-718-0700
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Fax | 928-756-3480
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Provider Business Mailing Address
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Address Line | 3267 BEE CAVES RD STE 107-187
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City | AUSTIN
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State | TX
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Zip | 78746-6700
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Country | US
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Telephone | 512-718-0700
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Fax | 928-756-3480
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 9663
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License Number State | TX
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