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General NPI Number Information
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NPI Number | 1053508903
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Entity Type | Individual
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Provider Name | VALERIE ANN GREEN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 1131 N 15TH ST
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City | CANON CITY
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State | CO
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Zip | 81212-4618
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Country | US
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Telephone | 719-275-0595
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1138
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City | CANON CITY
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State | CO
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Zip | 81215-1138
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Country | US
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Telephone | 719-275-0595
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Fax |
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 1327
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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