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General NPI Number Information
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NPI Number | 1992602692
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Entity Type | Individual
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Provider Name | LILY COZETTE VILLALOBOS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/26/2026
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Last Update Date | 10/26/2026
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Provider Practice Location Address
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Address Line | 690 OTAY LAKES RD STE 110
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City | CHULA VISTA
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State | CA
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Zip | 91910-8904
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Country | US
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Telephone | 619-475-6910
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Fax |
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Provider Business Mailing Address
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Address Line | 425 W BEECH ST UNIT 1756
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City | SAN DIEGO
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State | CA
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Zip | 92101-8439
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Country | US
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Telephone | 909-631-6247
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 310691
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License Number State | CA
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