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General NPI Number Information
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NPI Number | 1164143178
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Entity Type | Organization
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Legal Business Name | RICHARD VALDES, O.D., P.A.
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Dates
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Enumeration Date | 09/07/2022
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Last Update Date | 09/07/2022
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Provider Practice Location Address
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Address Line | 1200 S FEDERAL HWY
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-7037
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Country | US
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Telephone | 954-281-1253
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Fax | 754-227-0784
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Provider Business Mailing Address
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Address Line | 4308 DIAMOND ROW
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City | WESTON
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State | FL
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Zip | 33331-3112
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Country | US
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Telephone | 305-360-1646
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD VALDES
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Credential | OD
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Telephone | 305-360-1646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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