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General NPI Number Information
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NPI Number | 1528962610
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Entity Type | Individual
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Provider Name | JOSUE RAUL VALENZUELA MORALES
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Gender | Male
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 350 N GRAND COURT PLZ
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City | NOGALES
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State | AZ
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Zip | 85621-2746
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Country | US
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Telephone | 520-839-2682
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 N SENECA PL
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City | NOGALES
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State | AZ
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Zip | 85621-1550
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Country | US
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Telephone | 520-839-2682
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Fax |
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | AZ00015140
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License Number State | AZ
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