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OIG exclusion detail

JOSE VALDEZ

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
0000000000
Name
JOSE VALDEZ
Address
1405 HARBOUR BLVD, TRENTON, MI, 48183
Specialty
GENERAL PRACTICE/FP
Exclusion type
1128a2
Exclusion date
19970902
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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