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General NPI Number Information
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NPI Number | 1780795286
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Entity Type | Individual
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Provider Name | ANTHONY VALENTI OD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 38101 MARKET SQ
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-7505
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Country | US
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Telephone | 813-715-0195
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Fax | 813-780-1232
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Provider Business Mailing Address
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Address Line | 38135 MARKET SQUARE
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542
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Country | US
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Telephone | 813-780-1255
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Fax | 813-780-9773
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC4073
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License Number State | FL
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