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General NPI Number Information
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NPI Number | 1932661006
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Entity Type | Individual
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Provider Name | MARINA VALENCIA NP
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Gender | Female
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Dates
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Enumeration Date | 04/05/2019
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 3959 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10032-1559
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Country | US
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Telephone | 646-317-5238
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Fax |
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Provider Business Mailing Address
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Address Line | 252 LOUIS AVE
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City | SOUTH FLORAL PARK
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State | NY
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Zip | 11001-3523
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Country | US
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Telephone | 347-239-6802
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 343345
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License Number State | NY
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