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General NPI Number Information
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NPI Number | 1982891867
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Entity Type | Individual
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Provider Name | JEFFREY IRA VALEN D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 1951 ARGILE DR
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City | DUNEDIN
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State | FL
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Zip | 34698-3233
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Country | US
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Telephone | 727-733-9728
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Fax | 727-734-0503
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Provider Business Mailing Address
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Address Line | 1660 GULF TO BAY BLVD
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City | CLEARWATER
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State | FL
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Zip | 33755-6423
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Country | US
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Telephone | 727-786-2535
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Fax | 727-734-0503
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH006809
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License Number State | FL
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