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General NPI Number Information
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NPI Number | 1912958588
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Entity Type | Individual
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Provider Name | WESLEY N VALDES D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 3000 MEDICAL PARK DR STE 430
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City | TAMPA
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State | FL
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Zip | 33613-4681
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Country | US
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Telephone | 813-615-7160
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Fax | 813-615-7173
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Provider Business Mailing Address
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Address Line | 2748 WINDGUARD CIR STE 102
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-7364
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Country | US
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Telephone | 312-388-2663
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Fax | 813-688-0519
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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 | 20A14248
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | OS17664
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS17664
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License Number State | FL
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