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General NPI Number Information
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NPI Number | 1497375653
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Entity Type | Organization
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Legal Business Name | RINA CHETAN VALIA
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 2907 S EL CAMINO REAL
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City | SAN MATEO
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State | CA
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Zip | 94403-2730
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Country | US
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Telephone | 650-627-6114
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Fax |
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Provider Business Mailing Address
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Address Line | 2907 S EL CAMINO REAL
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City | SAN MATEO
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State | CA
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Zip | 94403-2730
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Country | US
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Telephone | 650-627-6114
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RINA VALIA
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Credential | HIS
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Telephone | 650-627-6114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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