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General NPI Number Information
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NPI Number | 1114646718
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Entity Type | Individual
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Provider Name | STEPHANIE NICOLE VALVERDE LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 27TH SPECIAL OPERATIONS MEDICAL GROUP 224 W.D.LINGRAM AVE. BLDG 1408
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City | CANNON AFB
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State | NM
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Zip | 88103
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Country | US
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Telephone | 575-784-4228
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Fax |
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Provider Business Mailing Address
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Address Line | 6708 91ST ST
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City | LUBBOCK
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State | TX
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Zip | 79424-6735
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 66891
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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