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General NPI Number Information
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NPI Number | 1164561809
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Entity Type | Organization
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Legal Business Name | VALANCIUS & SALVADOR, P.A.
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 11013 N DALE MABRY HWY
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City | TAMPA
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State | FL
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Zip | 33618-3801
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Country | US
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Telephone | 813-963-1724
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Fax | 813-962-2410
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Provider Business Mailing Address
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Address Line | 11013 N DALE MABRY HWY
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City | TAMPA
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State | FL
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Zip | 33618-3801
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Country | US
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Telephone | 813-963-1724
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Fax | 813-962-2410
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MICHAEL S. VALANCIUS
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Credential | D.D.S.
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Telephone | 813-963-1724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN9748
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License Number State | FL
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