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General NPI Number Information
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NPI Number | 1669783940
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Entity Type | Individual
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Provider Name | LINDA VALOVICH
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Gender | Female
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 07/01/2010
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Provider Practice Location Address
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Address Line | 401 MAPLEWOOD DR SUITE 8
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City | JUPITER
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State | FL
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Zip | 33458-5849
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Country | US
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Telephone | 561-353-9988
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Fax | 561-353-9995
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Provider Business Mailing Address
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Address Line | 5411 N UNIVERSITY DR SUITE 102
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4637
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Country | US
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Telephone | 954-752-1559
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Fax | 954-752-1560
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | AS458
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License Number State | FL
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