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General NPI Number Information
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NPI Number | 1558610428
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Entity Type | Individual
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Provider Name | JULIANA MARIA VALENTE MSOT
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Gender | Female
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 09/06/2012
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Provider Practice Location Address
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Address Line | 3551 ROGER BROOKE DR
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City | SAN ANTONIO
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State | TX
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Zip | 78234-4504
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Country | US
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Telephone | 210-808-2237
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 OAKGATE DR APT 2606
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City | SAN ANTONIO
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State | TX
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Zip | 78230-3375
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Country | US
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Telephone | 314-580-1776
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 46TR00575100
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License Number State | NJ
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