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General NPI Number Information
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NPI Number | 1982038444
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Entity Type | Individual
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Provider Name | BIARDA VILLAVERDE M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/02/2013
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 14601 SW 29TH ST STE 109
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City | MIRAMAR
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State | FL
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Zip | 33027-4715
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Country | US
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Telephone | 954-800-1991
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Fax | 808-731-8348
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Provider Business Mailing Address
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Address Line | 19001 NE 2ND AVE APT 1401
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City | MIAMI
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State | FL
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Zip | 33179-3766
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Country | US
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Telephone | 786-205-5069
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME116847
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License Number State | FL
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