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General NPI Number Information
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NPI Number | 1962201632
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Entity Type | Individual
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Provider Name | DAVID MARK VALDES NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 7730 W BOYNTON BEACH BLVD STE 4
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-6155
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Country | US
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Telephone | 800-200-8196
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Fax |
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Provider Business Mailing Address
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Address Line | 19704 NW 85TH AVE
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City | HIALEAH
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State | FL
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Zip | 33015-6909
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Country | US
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Telephone | 786-246-1475
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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 | APRN1101372
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License Number State | FL
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