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General NPI Number Information
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NPI Number | 1396088076
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Entity Type | Individual
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Provider Name | KEVIN DAVID VALVANO D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 2003 SULLIVAN TRL
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City | EASTON
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State | PA
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Zip | 18040-8339
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Country | US
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Telephone | 484-503-6470
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Fax |
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Provider Business Mailing Address
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Address Line | 26 COLONIAL DR
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City | MORRISTOWN
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State | NJ
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Zip | 07960-4728
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Country | US
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Telephone | 973-901-0713
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101020722
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102204435
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3076
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 336244
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | OS018740
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 25MB11057500
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License Number State | NJ
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