MEDICARE: WILLIAM RICHARD VALASKI JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	376J00000X	Homemaker
3	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1235918806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM RICHARD VALASKI JR.

Provider Business Mailing Address
First Line	:	7501 WHITEHALL CIR W
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-1108
Country	:	US
Telephone Number	:	513-478-5896
Fax Number	:

Provider Business Practice Location Address
First Line	:	7501 WHITEHALL CIR W
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-1108
Country	:	US
Telephone Number	:	513-478-5896
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2023
Last Update Date	:	09/25/2023

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