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General NPI Number Information
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NPI Number | 1083991145
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Entity Type | Individual
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Provider Name | VALERIO SPINA
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Gender | Male
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Dates
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Enumeration Date | 11/03/2011
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Last Update Date | 11/03/2011
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Provider Practice Location Address
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Address Line | 2175 PARKLAKE DR NE
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City | ATLANTA
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State | GA
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Zip | 30345-2845
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Country | US
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Telephone | 770-496-7505
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Fax | 678-261-1470
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Provider Business Mailing Address
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Address Line | 2175 PARKLAKE DR NE
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City | ATLANTA
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State | GA
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Zip | 30345-2845
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Country | US
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Telephone | 770-496-7505
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Fax | 678-261-1470
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 38859
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License Number State | CA
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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 | 10671
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11549
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5348449-1701
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License Number State | UT
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12945
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 21726
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI01332400
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License Number State | NJ
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