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General NPI Number Information
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NPI Number | 1316158371
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Entity Type | Individual
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Provider Name | MARIE ELIZABETH VALDES MD
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 4 IRVING PL
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City | NEW YORK
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State | NY
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Zip | 10003-3502
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Country | US
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Telephone | 212-780-7949
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Fax | 212-780-7995
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Provider Business Mailing Address
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Address Line | 501 BEAR RIDGE RD
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City | PLEASANTVILLE
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State | NY
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Zip | 10570-2502
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Country | US
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Telephone |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 151702
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License Number State | NY
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