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General NPI Number Information
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NPI Number | 1952460941
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Entity Type | Individual
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Provider Name | ANALISA VILLARREAL MD
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1423 E ROOSEVELT AVE
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City | GRANTS
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State | NM
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Zip | 87020-2245
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Country | US
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Telephone | 505-287-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 2305 VIA GRANADA PL NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87104-3098
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Country | US
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Telephone | 505-228-6154
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2001-327
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License Number State | NM
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