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General NPI Number Information
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NPI Number | 1811393507
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Entity Type | Individual
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Provider Name | MRS. REBECCA VILLARREAL
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Gender | Female
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Dates
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Enumeration Date | 11/07/2014
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 3511 S MALINCHE AVE
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City | LAREDO
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State | TX
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Zip | 78046-7150
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Country | US
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Telephone | 956-251-6949
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Fax |
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Provider Business Mailing Address
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Address Line | 3511 S MALINCHE AVE
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City | LAREDO
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State | TX
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Zip | 78046-7150
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Country | US
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Telephone |
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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