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General NPI Number Information
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NPI Number | 1043455017
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Entity Type | Individual
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Provider Name | LUIS MIGUEL VALDES
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Gender | Male
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 1829 TAMIAMI TRL N
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City | NAPLES
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State | FL
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Zip | 34102-4802
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Country | US
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Telephone | 239-643-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 1829 TAMIAMI TRL N
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City | NAPLES
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State | FL
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Zip | 34102-4802
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Country | US
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Telephone | 239-643-4327
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS-2703
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License Number State | FL
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