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NPI Code Detail

MEDICARE: DR. BARRY S. VALENTINE MD

MEDICARE: DR. BARRY S. VALENTINE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician32919DC
2207L00000XAnesthesiology Physician0101237846VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285633149
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARRY S. VALENTINE MD
Provider Business Mailing Address
First Line : 3100 SPRING FOREST RD
Second Line : SUITE 130
City : RALEIGH
State : NC
Zip : 27616-2880
Country : US
Telephone Number : 919-882-0705
Fax Number : 919-873-9821
Provider Business Practice Location Address
First Line : 44045 RIVERSIDE PKWY
Second Line :
City : LEESBURG
State : VA
Zip : 20176-5101
Country : US
Telephone Number : 919-882-0705
Fax Number : 919-873-9821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 11/21/2013

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