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General NPI Number Information
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NPI Number | 1730310376
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Entity Type | Individual
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Provider Name | AARON KATHRYN VILLARREAL PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 07/30/2009
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Provider Practice Location Address
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Address Line | 2520 BROADWAY ST STE 100
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City | SAN ANTONIO
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State | TX
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Zip | 78215-1004
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Country | US
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Telephone | 210-595-1019
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Fax | 210-251-3194
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Provider Business Mailing Address
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Address Line | 2520 BROADWAY ST STE 100
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City | SAN ANTONIO
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State | TX
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Zip | 78215-1004
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Country | US
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Telephone | 210-595-1019
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Fax | 210-251-3194
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA06034
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License Number State | TX
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