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General NPI Number Information
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NPI Number | 1336249747
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Entity Type | Individual
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Provider Name | CARLOS A VALDES-LORA MD
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 2945 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33135-2826
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Country | US
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Telephone | 305-649-4900
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Fax | 305-649-2352
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Provider Business Mailing Address
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Address Line | 2945 SW 8 STREET
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City | MIAMI
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State | FL
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Zip | 33135-2836
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Country | US
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Telephone | 305-649-4900
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Fax | 305-649-2352
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 39659
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License Number State | FL
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