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General NPI Number Information
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NPI Number | 1962797209
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Entity Type | Individual
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Provider Name | MELISSA CATHLEEN VILLEGAS D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 3625 N HALL ST STE 800
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City | DALLAS
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State | TX
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Zip | 75219-5106
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Country | US
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Telephone | 214-252-3500
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Fax | 214-252-0524
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Provider Business Mailing Address
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Address Line | PO BOX 650823 DEPT 41197
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City | DALLAS
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State | TX
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Zip | 75265-0823
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Country | US
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Telephone | 800-411-7515
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Fax | 770-701-6627
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | P4915
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License Number State | TX
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