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General NPI Number Information
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NPI Number | 1790637775
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Entity Type | Organization
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Legal Business Name | VALLO VENICE PLLC
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 1214 E VENICE AVE STE B
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City | VENICE
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State | FL
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Zip | 34285-7165
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Country | US
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Telephone | 941-294-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 8331 GUNN HWY
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City | TAMPA
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State | FL
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Zip | 33626-1608
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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 | CEO
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Name | ANDREW M VALLO
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Credential | DDS
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Telephone | 412-389-0977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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