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General NPI Number Information
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NPI Number | 1063408946
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Entity Type | Individual
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Provider Name | MR. EDWIN VALENTIN
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Gender | Male
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | RD. #1 KM 49.0
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City | CIDRA
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State | PR
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Zip | 00739-0073
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Country | US
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Telephone | 787-714-1111
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Fax | 787-715-7332
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Provider Business Mailing Address
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Address Line | HC 71 BOX 7619
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City | CAYEY
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State | PR
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Zip | 00736-9575
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Country | US
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Telephone | 407-765-6131
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Fax | 787-715-7332
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PS38552
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS38552
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License Number State | FL
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