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General NPI Number Information
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NPI Number | 1861666364
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Entity Type | Organization
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Legal Business Name | IGNACIO VALDES, MD APC
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 1500 S CENTRAL AVE STE 210
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City | GLENDALE
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State | CA
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Zip | 91204-2530
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Country | US
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Telephone | 818-500-0999
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Fax | 818-500-0997
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Provider Business Mailing Address
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Address Line | 1500 S CENTRAL AVE STE 210
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City | GLENDALE
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State | CA
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Zip | 91204-2530
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Country | US
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Telephone | 818-500-0999
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Fax | 818-500-0997
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IGNACIO VALDES
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Credential | MD
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Telephone | 818-500-0999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G062465
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License Number State | CA
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