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General NPI Number Information
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NPI Number | 1518302793
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Entity Type | Organization
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Legal Business Name | VALENCIA FAMILY HEALTH CARE INC
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 05/08/2013
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Provider Practice Location Address
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Address Line | 311 LOS LENTES RD SE
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City | LOS LUNAS
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State | NM
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Zip | 87031-9224
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Country | US
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Telephone | 505-565-2232
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Fax | 505-916-5151
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Provider Business Mailing Address
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Address Line | PO BOX 610
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City | LOS LUNAS
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State | NM
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Zip | 87031-0610
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Country | US
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Telephone | 505-565-2232
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Fax | 505-916-5151
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANNA M MARTINEZ
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Credential |
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Telephone | 505-565-2232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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