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General NPI Number Information
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NPI Number | 1245712850
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Entity Type | Individual
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Provider Name | VALERIA VISOIU PTA
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Gender | Female
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 2624 N MCCOLL RD
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City | MCALLEN
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State | TX
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Zip | 78501-5502
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Country | US
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Telephone | 956-664-9955
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Fax |
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Provider Business Mailing Address
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Address Line | 5104 N CYNTHIA ST
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City | MCALLEN
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State | TX
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Zip | 78504-2321
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Country | US
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Telephone | 956-341-1430
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2124066
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License Number State | TX
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