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General NPI Number Information
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NPI Number | 1851553473
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Entity Type | Individual
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Provider Name | PAVEL VALDES MD
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Gender | Male
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 100 S ZARZAMORA ST
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3743
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Country | US
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Telephone | 726-240-6948
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 615-705-1725
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Fax | 786-472-5770
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P0884
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License Number State | TX
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