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General NPI Number Information
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NPI Number | 1588384895
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Entity Type | Individual
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Provider Name | VALENTINA MORA
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Gender | Female
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 1330 CORAL WAY STE 406
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City | MIAMI
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State | FL
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Zip | 33145-2945
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Country | US
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Telephone | 305-285-8341
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Fax | 786-265-0168
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Provider Business Mailing Address
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Address Line | 11403 NW 89TH ST
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City | DORAL
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State | FL
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Zip | 33178-1777
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Country | US
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Telephone | 305-285-8341
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Fax | 786-265-0168
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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 | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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