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General NPI Number Information
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NPI Number | 1053500355
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Entity Type | Individual
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Provider Name | DOROTHY ANN VALIN APRN, CNS BC, PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 446 E ONTARIO ST NORTHWESTERN MEMORIAL HOSPITAL, SUITE 7-248
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City | CHICAGO
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State | IL
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Zip | 60611
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Country | US
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Telephone | 312-926-3909
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Fax | 312-926-4840
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Provider Business Mailing Address
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Address Line | 446 E ONTARIO ST NORTHWESTERN MEMORIAL HOSPITAL, SUITE 7-248
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City | CHICAGO
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State | IL
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Zip | 60611-4418
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Country | US
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Telephone | 312-926-3909
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Fax | 312-926-4840
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041-281367
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 209.004105
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 209-004105
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License Number State | IL
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