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General NPI Number Information
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NPI Number | 1720822984
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Entity Type | Individual
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Provider Name | JUVENTINO VALDEZ DDS
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Gender | Male
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Dates
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Enumeration Date | 06/22/2024
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Last Update Date | 06/22/2024
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Provider Practice Location Address
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Address Line | 1309 E NOLANA AVE STE 3
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City | MCALLEN
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State | TX
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Zip | 78504-6189
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Country | US
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Telephone | 956-616-4911
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Fax |
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Provider Business Mailing Address
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Address Line | 2014 MERLE ST
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City | PASADENA
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State | TX
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Zip | 77502-3721
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Country | US
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Telephone | 713-505-3815
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 40622
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License Number State | TX
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