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NPI 1306262266

NPI 1306262266 : FEBBIE VALIENTE : SUNRISE, FL

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General NPI Number Information
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    NPI Number           |    1306262266
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    Entity Type          |    Individual 
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    Provider Name        |    FEBBIE VALIENTE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/14/2014
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    Last Update Date     |    03/14/2014
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Provider Practice Location Address
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    Address Line         |    1580 SAWGRASS CORPORATE PKWY SUITE 100
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    City                 |    SUNRISE
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    State                |    FL
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    Zip                  |    33323-2859
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    Country              |    US
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    Telephone            |    954-647-2208
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1580 SAWGRASS CORPORATE PKWY SUITE 100
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    City                 |    SUNRISE
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    State                |    FL
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    Zip                  |    33323-2859
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    Country              |    US
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    Telephone            |    954-647-2208
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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       |    PTP-PT-LIC-6114
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    License Number State |    MT
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1234240
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    License Number State |    TX
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