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General NPI Number Information
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NPI Number | 1275815714
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Entity Type | Individual
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Provider Name | SORALIS VALENZUELA RPH
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Gender | Female
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Dates
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Enumeration Date | 09/11/2011
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Last Update Date | 09/11/2011
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Provider Practice Location Address
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Address Line | 1855 S 5TH ST
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City | ALLENTOWN
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State | PA
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Zip | 18103-4925
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Country | US
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Telephone | 610-791-7796
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Fax | 610-798-7277
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Provider Business Mailing Address
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Address Line | 2916 ELM CT
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City | ALLENTOWN
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State | PA
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Zip | 18103-2814
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Country | US
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Telephone | 610-434-4071
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP441469
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License Number State | PA
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