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General NPI Number Information
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NPI Number | 1467416511
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Entity Type | Individual
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Provider Name | THOMAS VALENTE MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 2020 TALLEY RD
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City | LEESBURG
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State | FL
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Zip | 34748-3426
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Country | US
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Telephone | 352-315-7810
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Fax | 352-360-6610
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Provider Business Mailing Address
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Address Line | 2020 TALLEY RD PO BOX 491000
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City | LEESBURG
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State | FL
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Zip | 34748-3426
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Country | US
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Telephone | 352-315-7810
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Fax | 352-360-6610
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME 62938
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License Number State | FL
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