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General NPI Number Information
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NPI Number | 1841324282
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Entity Type | Individual
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Provider Name | VICTOR O VALDEZ MD
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Gender | Male
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 09/28/2013
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Provider Practice Location Address
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Address Line | 1959 CALLE FORTUNA URB VISTA ALEGRE
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City | PONCE
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State | PR
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Zip | 00717-2304
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Country | US
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Telephone | 787-640-8224
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Fax | 188-834-7927
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Provider Business Mailing Address
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Address Line | 1959 CALLE FORTUNA URB VISTA ALEGRE
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City | PONCE
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State | PR
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Zip | 00717-2304
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Country | US
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Telephone | 787-640-8224
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Fax | 188-834-7927
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 5498
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License Number State | PR
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