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General NPI Number Information
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NPI Number | 1578106274
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Entity Type | Individual
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Provider Name | VALENTINO BAILEY M.S. ED
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Gender | Male
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 1657 N MIAMI AVE APT 515
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City | MIAMI
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State | FL
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Zip | 33136-2010
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Country | US
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Telephone | 310-367-7517
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Fax |
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Provider Business Mailing Address
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Address Line | 1657 N MIAMI AVE APT 515
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City | MIAMI
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State | FL
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Zip | 33136-2010
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Country | US
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Telephone | 310-367-7517
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 226300000X
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Taxonomy Name | Kinesiotherapist
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License Number | 1060542
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License Number State |
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