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NPI Code Detail

MEDICARE: DR. ANTONIO E VALDES DAPENA MD

MEDICARE:  DR. ANTONIO E VALDES DAPENA  MD
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0101052515VA

General Provider Information

NPI Number : 1942292511
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTONIO E VALDES DAPENA MD
Provider Business Mailing Address
First Line : PO BOX 450
Second Line :
City : BOWLING GREEN
State : VA
Zip : 22427-0450
Country : US
Telephone Number : 804-633-5840
Fax Number : 804-633-4438
Provider Business Practice Location Address
First Line : 121 COURTHOUSE LN
Second Line :
City : BOWLING GREEN
State : VA
Zip : 22427-9336
Country : US
Telephone Number : 804-633-5840
Fax Number : 804-633-4438
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ANTONIO E VALDES DAPENA MD” Practice Location

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