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General NPI Number Information
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NPI Number | 1669699682
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Entity Type | Individual
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Provider Name | SUZANNE M VALENTINE L.D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9089 N MILITARY TRL STE 23
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City | WEST PALM BEACH
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State | FL
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Zip | 33410-5992
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Country | US
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Telephone | 561-775-8012
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Fax |
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Provider Business Mailing Address
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Address Line | 2168 TARRAGON RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-7012
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Country | US
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Telephone | 561-641-7249
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 4993
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License Number State | FL
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