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General NPI Number Information
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NPI Number | 1477578250
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Entity Type | Organization
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Legal Business Name | JULIA W VALDEZ M D INC
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 09/06/2013
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Provider Practice Location Address
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Address Line | 16031 TUSCOLA RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307-1319
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Country | US
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Telephone | 760-946-2020
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Fax | 760-242-3170
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Provider Business Mailing Address
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Address Line | 16031 TUSCOLA RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307-1319
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Country | US
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Telephone | 760-946-2020
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Fax | 760-242-3170
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. VIVENCIO DELEON VALDEZ JR.
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Credential | C.P.A.
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Telephone | 760-953-8351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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