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General NPI Number Information
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NPI Number | 1295314524
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Entity Type | Individual
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Provider Name | MARIA VALENCIA PT
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Gender | Female
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 6826 S CENTINELA AVE
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City | CULVER CITY
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State | CA
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Zip | 90230-6301
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Country | US
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Telephone | 310-915-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 845 S KINGSLEY DR APT 105
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City | LOS ANGELES
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State | CA
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Zip | 90005-4361
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Country | US
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Telephone | 323-404-5528
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 299905
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License Number State | CA
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