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General NPI Number Information
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NPI Number | 1487867735
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Entity Type | Individual
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Provider Name | MARIA LUISA VALLES NURSE
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ASSMCA 410 AVE HOSTOSSUITE 7
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City | MAYAGUES
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State | PR
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Zip | 00682-1522
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Country | US
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Telephone | 787-832-2325
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Fax | 787-832-2325
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Provider Business Mailing Address
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Address Line | P O BOX 235
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City | SABANA GRANDE
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State | PR
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Zip | 00637-0235
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Country | US
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Telephone | 787-873-6397
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Fax | 787-832-2325
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 010745
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License Number State | PR
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