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General NPI Number Information
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NPI Number | 1235771288
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Entity Type | Individual
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Provider Name | JOSE GABRIEL VALDES DNP, APRN, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 10689 N KENDALL DR STE 211
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City | MIAMI
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State | FL
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Zip | 33176-1594
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Country | US
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Telephone | 305-204-9499
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Fax | 507-607-8720
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Provider Business Mailing Address
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Address Line | 10689 N KENDALL DR STE 211
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City | MIAMI
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State | FL
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Zip | 33176-1594
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Country | US
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Telephone | 305-204-9499
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Fax | 507-607-8720
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN9512079
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11015471
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License Number State | FL
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