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General NPI Number Information
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NPI Number | 1750044004
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Entity Type | Organization
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Legal Business Name | AIMEE VILLAMAYOR DDS PLLC
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Dates
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Enumeration Date | 10/14/2021
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Last Update Date | 10/14/2021
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Provider Practice Location Address
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Address Line | 771 E HORIZON DR STE 176
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City | HENDERSON
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State | NV
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Zip | 89015-8408
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Country | US
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Telephone | 702-943-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 771 E HORIZON DR STE 176
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City | HENDERSON
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State | NV
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Zip | 89015-8408
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Country | US
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Telephone | 702-943-0900
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | TAMI SMITH
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Credential |
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Telephone | 317-366-3595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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