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General NPI Number Information
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NPI Number | 1407999568
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Entity Type | Individual
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Provider Name | ERWIN BENEDICT VALENCIA DPT, ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 711 OLD SAW MILL RIVER RD
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City | TARRYTOWN
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State | NY
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Zip | 10591-6701
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Country | US
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Telephone | 212-465-6741
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Fax |
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Provider Business Mailing Address
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Address Line | 1734 LARAMIE ST
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City | SARASOTA
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State | FL
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Zip | 34231-8841
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Country | US
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Telephone | 917-326-1682
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT23447
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 021373
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License Number State | NY
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