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General NPI Number Information
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NPI Number | 1114397890
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Entity Type | Individual
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Provider Name | VALERIYA MIKHAILOVA NP
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Gender | Female
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Dates
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Enumeration Date | 10/06/2015
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 20398 BLAUER DR
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City | SARATOGA
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State | CA
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Zip | 95070-4307
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Country | US
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Telephone | 408-733-0400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 110532 500 W HAMILTON AVE
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City | CAMPBELL
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State | CA
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Zip | 95008
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Country | US
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Telephone | 86-793-0764
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 95002991
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License Number State | CA
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