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General NPI Number Information
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NPI Number | 1699665646
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Entity Type | Individual
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Provider Name | ANGELIQUE MARIE VALDEZ
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Gender | Female
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 4601 SHERIDAN ST STE 400
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3435
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Country | US
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Telephone | 954-228-3732
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Fax |
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Provider Business Mailing Address
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Address Line | 15475 NW 88TH AVE
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City | MIAMI LAKES
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State | FL
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Zip | 33018-1335
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Country | US
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Telephone | 954-699-6239
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMT4180
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License Number State | FL
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