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General NPI Number Information
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NPI Number | 1114957982
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Entity Type | Individual
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Provider Name | VALERIE S. GRAHAM MS
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 110 N 6TH ST
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City | CLARKSBURG
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State | WV
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Zip | 26301-2602
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Country | US
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Telephone | 304-622-4327
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Fax | 304-622-2144
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Provider Business Mailing Address
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Address Line | 110 N 6TH ST
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City | CLARKSBURG
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State | WV
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Zip | 26301-2602
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Country | US
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Telephone | 304-622-4327
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Fax | 304-622-2144
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A0032
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | A0032
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License Number State | WV
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