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General NPI Number Information
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NPI Number | 1801923602
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Entity Type | Individual
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Provider Name | THOMAS JOSEPH VALENTE M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 55 S 6TH ST
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4237
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Country | US
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Telephone | 928-634-5118
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Fax | 928-634-8522
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Provider Business Mailing Address
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Address Line | 55 S 6TH ST
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4237
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Country | US
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Telephone | 928-634-5118
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Fax | 928-634-8522
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 036113467
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 37382
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License Number State | AZ
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