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General NPI Number Information
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NPI Number | 1164963039
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Entity Type | Individual
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Provider Name | ELIZABETH VALDES NP
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Gender | Female
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Dates
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Enumeration Date | 03/13/2017
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Last Update Date | 03/19/2021
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Provider Practice Location Address
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Address Line | 7600 W 20TH AVE STE 102
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City | HIALEAH
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State | FL
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Zip | 33016-1895
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Country | US
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Telephone | 786-636-6952
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Fax | 786-391-2357
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Provider Business Mailing Address
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Address Line | 235 W 61ST ST
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City | HIALEAH
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State | FL
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Zip | 33012-2638
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Country | US
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Telephone | 786-338-3675
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9360854
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License Number State | FL
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