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General NPI Number Information
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NPI Number | 1801621842
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Entity Type | Organization
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Legal Business Name | MAURICIO A PADILLA VALDES, MD., PLLC
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Dates
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Enumeration Date | 09/06/2024
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 12126 E CHAMA RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5975
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Country | US
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Telephone | 281-731-9483
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 21208
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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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 | OWNER
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Name | MAURICIO A VALDES
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Credential | MD
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Telephone | 346-373-4715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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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 | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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