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General NPI Number Information
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NPI Number | 1235007477
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Entity Type | Individual
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Provider Name | SUSAN VALDES DPT
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Gender | Female
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 2474 BURNSED BLVD
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City | THE VILLAGES
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State | FL
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Zip | 32163-2702
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Country | US
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Telephone | 352-268-4146
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Fax |
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Provider Business Mailing Address
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Address Line | 10342 SE 125TH LN
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City | BELLEVIEW
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State | FL
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Zip | 34420-7127
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Country | US
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Telephone | 786-357-7197
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT33691
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License Number State | FL
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