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General NPI Number Information
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NPI Number | 1740483437
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Entity Type | Individual
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Provider Name | ONIER VILLARREAL ALEJANDRO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 2253 HEART PINE AVE
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City | ODESSA
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State | FL
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Zip | 33556-1500
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Country | US
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Telephone | 813-723-5911
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Fax |
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Provider Business Mailing Address
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Address Line | 19114 MAGNOLIA FARMS LN
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City | ODESSA
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State | FL
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Zip | 33556-4144
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Country | US
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Telephone | 443-540-5550
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME 113729
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME 113729
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | ME113729
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License Number State | FL
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