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General NPI Number Information
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NPI Number | 1073159299
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Entity Type | Individual
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Provider Name | VALERIE VANCE APRN
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Gender | Female
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Dates
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Enumeration Date | 11/22/2019
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 7560 RED BUG LAKE RD STE 1070
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City | OVIEDO
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State | FL
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Zip | 32765-6591
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Country | US
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Telephone | 407-366-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 460 E 3RD ST
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City | CHULUOTA
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State | FL
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Zip | 32766-8571
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Country | US
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Telephone | 407-341-3439
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 11001764
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License Number State | FL
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