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General NPI Number Information
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NPI Number | 1932990132
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Entity Type | Individual
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Provider Name | PRISCILLA MICHELLE VILLEGAS
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Gender | Female
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 6191 ORANGE DR STE 6167
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City | DAVIE
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State | FL
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Zip | 33314-3454
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Country | US
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Telephone | 954-800-4078
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Fax |
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Provider Business Mailing Address
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Address Line | 9936 NW 47TH TER
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City | DORAL
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State | FL
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Zip | 33178-1939
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Country | US
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Telephone | 786-212-7790
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ12983
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License Number State | FL
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