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General NPI Number Information
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NPI Number | 1497963698
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Entity Type | Individual
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Provider Name | ANTHONY ALEXIS VALLARINO DO
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Gender | Male
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Dates
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Enumeration Date | 05/19/2007
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Last Update Date | 04/16/2020
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Provider Practice Location Address
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Address Line | 3080 SAM RAYBURN HIGHWAY
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City | MELISSA
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State | TX
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Zip | 75454
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Country | US
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Telephone | 469-796-4125
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Fax | 469-796-4124
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Provider Business Mailing Address
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Address Line | 3080 SAM RAYBURN HIGHWAY
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City | MELISSA
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State | TX
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Zip | 75454
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Country | US
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Telephone | 469-796-4125
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Fax | 469-796-4124
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M5557
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License Number State | TX
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