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General NPI Number Information
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NPI Number | 1275069312
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Entity Type | Individual
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Provider Name | VALERIA S VALBUENA MD
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Gender | Female
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Dates
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Enumeration Date | 05/10/2017
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 676 N SAINT CLAIR ST FL 19
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City | CHICAGO
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State | IL
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Zip | 60611-2927
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Country | US
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Telephone | 312-695-8900
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Fax | 312-695-7752
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Provider Business Mailing Address
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Address Line | 676 N SAINT CLAIR ST FL 19
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City | CHICAGO
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State | IL
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Zip | 60611-2927
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Country | US
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Telephone | 312-695-8900
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Fax | 312-695-7752
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301112267
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036169028
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License Number State | IL
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