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General NPI Number Information
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NPI Number | 1629431523
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Entity Type | Individual
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Provider Name | VALERIE LOPEZ DPT
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Gender | Female
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 11921 S DIXIE HWY STE 208
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City | PINECREST
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State | FL
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Zip | 33156-4449
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Country | US
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Telephone | 786-553-0592
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Fax |
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Provider Business Mailing Address
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Address Line | 19430 RIDGELAND DR
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City | CUTLER BAY
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State | FL
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Zip | 33157-8861
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Country | US
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Telephone | 786-553-0592
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT27644
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License Number State | FL
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