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NPI 1386207470

NPI 1386207470 : MARIA RAYE ANNE VALDELEON NG MD : LEXINGTON, KY

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General NPI Number Information
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    NPI Number           |    1386207470
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    Entity Type          |    Individual 
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    Provider Name        |    MARIA RAYE ANNE VALDELEON NG MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/15/2019
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    Last Update Date     |    12/16/2025
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Provider Practice Location Address
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    Address Line         |    740 S LIMESTONE STE L119 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40536-0001
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    Country              |    US
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    Telephone            |    859-257-3253
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    Fax                  |    859-323-1203
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Provider Business Mailing Address
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    Address Line         |    1 UNIVERSITY OF NEW MEXICO 
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    City                 |    ALBUQUERQUE
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    State                |    NM
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    Zip                  |    87131-0001
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    RS2019-0389
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    License Number State |    NM
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Taxonomy #2
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    59688
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    NM
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