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General NPI Number Information
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NPI Number | 1851889232
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Entity Type | Individual
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Provider Name | ANDREW VALENZUELA MD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 5310 W THUNDERBIRD RD STE 301
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City | GLENDALE
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State | AZ
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Zip | 85306-4710
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Country | US
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Telephone | 480-412-6430
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Fax |
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Provider Business Mailing Address
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Address Line | 2942 N 24TH ST. STE 115, PMB 293290
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City | PHOENIX
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State | AZ
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Zip | 85016
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Country | US
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Telephone | 832-585-2580
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Fax |
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 67387
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 67387
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | T1590
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | BP10063724
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 2080B0002X
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Taxonomy Name | Pediatric Obesity Medicine Physician
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License Number | 67387
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 2080S0012X
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Taxonomy Name | Pediatric Sleep Medicine Physician
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License Number | T1590
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License Number State | TX
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