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General NPI Number Information
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NPI Number | 1083205355
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Entity Type | Individual
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Provider Name | ANTHONY VALENTIN
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Gender | Male
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Dates
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Enumeration Date | 01/29/2021
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 1800 CALLE NAVARRA STE 100
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City | PONCE
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State | PR
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Zip | 00716-4806
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Country | US
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Telephone | 787-709-4591
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Fax |
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Provider Business Mailing Address
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Address Line | PARQUE DEL RIO 511 CALLE PEDRO ALBIZU CAMPOS
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City | PONCE
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State | PR
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Zip | 00716
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Country | US
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Telephone | 787-470-5105
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 10205
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License Number State | PR
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