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General NPI Number Information
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NPI Number | 1952711020
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Entity Type | Individual
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Provider Name | JASON VALADAO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/29/2014
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 695 KINKAID RD
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City | ANNAPOLIS
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State | MD
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Zip | 21402-1006
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Country | US
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Telephone | 410-293-1748
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Fax |
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Provider Business Mailing Address
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Address Line | 601 MCCAIN BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92135
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Country | US
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Telephone | 619-545-9009
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | ME141714
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | MD84343
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 036150416
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | D0098730
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 35472
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License Number State | OK
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Taxonomy #6
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 2019-02118
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 300087-01
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | MD16924
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License Number State | RI
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Taxonomy #9
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 20374
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License Number State | NV
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Taxonomy #10
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 35.136938
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License Number State | OH
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Taxonomy #11
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 63573
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License Number State | AZ
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Taxonomy #12
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | DR.0064465
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License Number State | CO
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Taxonomy #13
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | MD048783
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License Number State | DC
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Taxonomy #14
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | S3766
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License Number State | TX
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Taxonomy #15
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | A153557
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License Number State | CA
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