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General NPI Number Information
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NPI Number | 1255569844
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Entity Type | Organization
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Legal Business Name | JUDITH VALENCIA MD PA
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 9804 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33165-3912
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Country | US
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Telephone | 305-222-9154
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Fax | 305-222-9155
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Provider Business Mailing Address
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Address Line | 9804 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33165-3912
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Country | US
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Telephone | 305-222-9154
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Fax | 305-222-9155
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUDITH VALENCIA
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Credential | MD
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Telephone | 305-222-9154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME98844
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME98844
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License Number State | FL
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