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General NPI Number Information
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NPI Number | 1033571476
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Entity Type | Organization
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Legal Business Name | VALLEY HEALTH SOLUTIONS, LLC
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 3555 S VAL VISTA DR
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City | GILBERT
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State | AZ
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Zip | 85297-7323
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Country | US
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Telephone | 480-861-8605
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Fax |
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Provider Business Mailing Address
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Address Line | 1909 E RAY RD SUITE 9-191
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City | CHANDLER
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State | AZ
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Zip | 85225-8724
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Country | US
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Telephone | 480-861-8605
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Fax |
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Authorized Official
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Title or Position | FNP, RNFA
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Name | SARAH FULLER
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Credential | FNP
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Telephone | 480-861-8605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN146289
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License Number State | AZ
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