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General NPI Number Information
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NPI Number | 1225649932
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Entity Type | Organization
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Legal Business Name | VALERA PLLC
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Dates
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Enumeration Date | 08/14/2020
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | 4680 S EASTERN AVE STE E
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City | LAS VEGAS
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State | NV
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Zip | 89119-6192
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Country | US
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Telephone | 702-598-0500
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Fax | 702-433-0029
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Provider Business Mailing Address
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Address Line | 4680 S EASTERN AVE STE E
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City | LAS VEGAS
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State | NV
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Zip | 89119-6192
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Country | US
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Telephone | 702-598-0500
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Fax | 702-433-0029
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUIS VALERA
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Credential | DC
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Telephone | 702-598-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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