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General NPI Number Information
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NPI Number | 1013946128
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Entity Type | Organization
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Legal Business Name | PATRICK VALLS MD PA
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 101 W HILLSIDE RD STE 9
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City | LAREDO
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State | TX
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Zip | 78041
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Country | US
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Telephone | 956-722-6858
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 452068
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City | LAREDO
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State | TX
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Zip | 78045-0051
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Country | US
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Telephone | 956-723-2220
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Fax | 956-723-2230
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICK L VALLS
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Credential | MD
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Telephone | 956-722-8019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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