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General NPI Number Information
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NPI Number | 1891183349
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Entity Type | Organization
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Legal Business Name | DAVID F VILLACRES MDPA
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 01/07/2015
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Provider Practice Location Address
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Address Line | 3407 RIVERS EDGE TRL
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City | KINGWOOD
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State | TX
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Zip | 77339-2634
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Country | US
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Telephone | 281-361-5990
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Fax | 281-361-5883
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Provider Business Mailing Address
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Address Line | 3407 RIVERS EDGE TRL
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City | KINGWOOD
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State | TX
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Zip | 77339-2634
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Country | US
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Telephone | 281-361-5990
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Fax | 281-361-5883
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Authorized Official
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Title or Position | OWNER
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Name | DAVID F VILLACRES
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Credential | MD
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Telephone | 281-361-5990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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