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NPI 1598762122

NPI 1598762122 : DONNA M VALENTINI OD : DEDHAM, MA

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General NPI Number Information
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    NPI Number           |    1598762122
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    Entity Type          |    Individual 
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    Provider Name        |    DONNA M VALENTINI OD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/28/2005
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    Last Update Date     |    11/15/2011
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Provider Practice Location Address
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    Address Line         |    980 WASHINGTON ST SUITE 120
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    City                 |    DEDHAM
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    State                |    MA
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    Zip                  |    02026-6731
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    Country              |    US
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    Telephone            |    781-251-2222
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    Fax                  |    781-234-0279
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Provider Business Mailing Address
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    Address Line         |    980 WASHINGTON ST SUITE 120
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    City                 |    DEDHAM
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    State                |    MA
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    Zip                  |    02026-6731
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    Country              |    US
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    Telephone            |    781-251-2222
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    Fax                  |    781-234-0279
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    3550
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    License Number State |    MA
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