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General NPI Number Information
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NPI Number | 1003955147
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Entity Type | Individual
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Provider Name | VALERIE ANN FITZGIBBONS MA CCCA
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1776 YGNACIO VALLEY ROAD SUITE 110
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City | WALNUT CREEK
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State | CA
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Zip | 94598
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Country | US
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Telephone | 925-933-2699
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Fax | 925-933-2797
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Provider Business Mailing Address
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Address Line | 1776 YGNACIO VALLEY ROAD SUITE 110
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City | WALNUT CREEK
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State | CA
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Zip | 94598
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Country | US
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Telephone | 925-933-2699
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Fax | 925-933-2797
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | HA3674AU1722
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License Number State | CA
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