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General NPI Number Information
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NPI Number | 1750112801
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Entity Type | Organization
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Legal Business Name | A VALENCIA NEUROLOGY PC
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Dates
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Enumeration Date | 08/12/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 2901 N TENAYA WAY STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89128-1404
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Country | US
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Telephone | 775-636-0193
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Fax | 725-307-8716
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Provider Business Mailing Address
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Address Line | 11016 DESERT DOVE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89144-1451
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ARLYN VALENCIA
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Credential | MD
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Telephone | 702-235-5778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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