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General NPI Number Information
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NPI Number | 1972114387
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Entity Type | Individual
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Provider Name | EMMANUELLE VALLES PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 7600 SW 87TH AVE
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City | MIAMI
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State | FL
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Zip | 33173-3601
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Country | US
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Telephone | 305-275-5525
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Fax |
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Provider Business Mailing Address
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Address Line | 10436 SW 127TH PL
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City | MIAMI
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State | FL
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Zip | 33186-3527
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Country | US
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Telephone | 305-987-6677
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9112887
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License Number State | FL
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