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General NPI Number Information
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NPI Number | 1689581118
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Entity Type | Individual
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Provider Name | JESSE VALIENTE
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Gender |
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 817 N DIXIE HWY
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City | POMPANO BEACH
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State | FL
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Zip | 33060-5621
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Country | US
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Telephone | 954-785-8285
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Fax | 954-928-0040
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Provider Business Mailing Address
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Address Line | 896 WATER TOWER WAY APT 414
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City | HYPOLUXO
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State | FL
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Zip | 33462-6328
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Country | US
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Telephone | 561-670-0692
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 9467746
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License Number State | FL
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