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General NPI Number Information
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NPI Number | 1356946537
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Entity Type | Individual
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Provider Name | ESTER M VALLE
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Gender | Female
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Dates
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Enumeration Date | 12/03/2020
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 3941 TAMIAMI TRL UNIT 3171
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City | PUNTA GORDA
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State | FL
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Zip | 33950-7925
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Country | US
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Telephone | 941-652-2439
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Fax |
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Provider Business Mailing Address
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Address Line | 207 NE 7TH AVE
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City | CAPE CORAL
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State | FL
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Zip | 33909-2529
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Country | US
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Telephone | 239-810-7493
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH27260
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License Number State | FL
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