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General NPI Number Information
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NPI Number | 1902728595
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Entity Type | Individual
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Provider Name | LUKE VALENCIA DCLS, MLS, HCLD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 1664 N VIRGINIA ST
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City | RENO
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State | NV
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Zip | 89557-0001
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Country | US
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Telephone | 530-620-5144
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Fax |
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Provider Business Mailing Address
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Address Line | 10 COLLEGE PKWY
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City | FOLSOM
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State | CA
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Zip | 95630-6798
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Country | US
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Telephone |
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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 | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | MTA-02028330
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number | 80874-RLD-0
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License Number State | NV
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