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General NPI Number Information
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NPI Number | 1619983251
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Entity Type | Individual
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Provider Name | ELISA JACQUELINE VALENCIA-SANCHEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 130 W KINGSBRIDGE RD
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City | BRONX
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State | NY
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Zip | 10468-3904
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Country | US
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Telephone | 718-584-9000
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Fax | 718-741-4801
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Provider Business Mailing Address
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Address Line | 5830 214TH ST
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-1833
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Country | US
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Telephone | 718-225-2652
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Fax | 718-741-4802
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 200891
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License Number State | NY
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