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General NPI Number Information
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NPI Number | 1649305608
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Entity Type | Individual
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Provider Name | CHRISTOPHER LINTAO VALENCIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 503 MCMILLAN RD
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City | WEST MONROE
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State | LA
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Zip | 71291-5327
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Country | US
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Telephone | 318-329-4744
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Fax | 318-329-4719
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Provider Business Mailing Address
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Address Line | 13940 N US HIGHWAY 441 SUITE 302
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City | LADY LAKE
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State | FL
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Zip | 32159-8908
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Country | US
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Telephone | 352-391-9057
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Fax | 352-391-5992
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME66948
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME66948
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License Number State | FL
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