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General NPI Number Information
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NPI Number | 1033631924
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Entity Type | Individual
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Provider Name | VALERIE LEE WRIGHT
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Gender | Female
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 07/12/2017
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Provider Practice Location Address
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Address Line | 710 KEN MAR INDUSTRIAL PKWY
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City | BROADVIEW HEIGHTS
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State | OH
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Zip | 44147-2920
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Country | US
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Telephone | 440-781-2720
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Fax | 844-273-9223
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Provider Business Mailing Address
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Address Line | 710 KEN MAR INDUSTRIAL PKWY
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City | BROADVIEW HEIGHTS
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State | OH
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Zip | 44147-2920
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Country | US
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Telephone | 440-781-2720
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Fax | 184-427-3922
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 400439991204
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License Number State | OH
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