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General NPI Number Information
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NPI Number | 1780620260
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Entity Type | Individual
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Provider Name | MR. QUINTIN A VALIENTE
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 7775 NW 48TH ST SUITE 150
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City | DORAL
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State | FL
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Zip | 33166-5468
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Country | US
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Telephone | 305-594-2881
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Fax | 305-594-2871
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Provider Business Mailing Address
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Address Line | 3901 NW 79TH AVE STE 241
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City | DORAL
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State | FL
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Zip | 33166-6506
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Country | US
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Telephone | 786-286-9594
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Fax | 305-594-2881
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | 43080
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License Number State | FL
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