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General NPI Number Information
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NPI Number | 1881032167
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Entity Type | Individual
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Provider Name | HEATHER HOUSE VILLARREAL CRNA, ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 9099 GRAPHITE CIR
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City | NAPLES
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State | FL
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Zip | 34120-5227
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Country | US
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Telephone | 864-320-5256
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Fax |
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Provider Business Mailing Address
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Address Line | 9099 GRAPHITE CIR
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City | NAPLES
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State | FL
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Zip | 34120-5227
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Country | US
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Telephone | 864-320-5256
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 22409
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 9300686
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License Number State | FL
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