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General NPI Number Information
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NPI Number | 1801161146
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Entity Type | Individual
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Provider Name | ALODIA MARIA DIAZ DE VILLEGAS M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1900 GLADES RD STE 260
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City | BOCA RATON
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State | FL
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Zip | 33431-7333
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Country | US
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Telephone | 561-260-5031
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Fax | 561-486-1281
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Provider Business Mailing Address
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Address Line | 766 NW 7TH DR
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City | BOCA RATON
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State | FL
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Zip | 33486-3524
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Country | US
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Telephone | 561-313-6261
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME126016
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME126016
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License Number State | FL
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