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General NPI Number Information
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NPI Number | 1760733414
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Entity Type | Organization
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Legal Business Name | ARLYN VALENCIA MD PC
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Dates
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Enumeration Date | 09/20/2012
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 7500 W LAKE MEAD BLVD # 9-467
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City | LAS VEGAS
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State | NV
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Zip | 89128-0297
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Country | US
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Telephone | 702-644-2007
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Fax | 702-644-0905
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Provider Business Mailing Address
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Address Line | 7500 W LAKE MEAD BLVD # 9-467
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City | LAS VEGAS
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State | NV
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Zip | 89128-0297
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Country | US
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Telephone | 702-644-2007
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Fax | 702-644-0905
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARLYN M VALENCIA
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Credential | MD
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Telephone | 702-644-2007
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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 | NV
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