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General NPI Number Information
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NPI Number | 1639052988
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Entity Type | Organization
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Legal Business Name | JUANA E VALDEZ
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 13315 SAN ANTONIO DR
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City | NORWALK
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State | CA
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Zip | 90650-2970
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Country | US
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Telephone | 562-219-7464
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Fax | 323-249-0038
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Provider Business Mailing Address
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Address Line | 13315 SAN ANTONIO DR
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City | NORWALK
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State | CA
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Zip | 90650-2970
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Country | US
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Telephone | 562-219-7464
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Fax | 562-366-5222
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Authorized Official
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Title or Position | CEO
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Name | JUANA E VALDEZ
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Credential |
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Telephone | 323-249-8497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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