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General NPI Number Information
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NPI Number | 1700704939
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Entity Type | Individual
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Provider Name | DAVID VALENCIA
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Gender | Male
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 625 BROAD ST STE 240
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City | NEWARK
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State | NJ
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Zip | 07102-4417
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Country | US
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Telephone | 973-434-5081
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Fax |
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Provider Business Mailing Address
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Address Line | 7 ADELAIDE ST
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City | BELLEVILLE
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State | NJ
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Zip | 07109-2221
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Country | US
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Telephone | 973-393-0549
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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