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General NPI Number Information
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NPI Number | 1124839790
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Entity Type | Organization
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Legal Business Name | NIZETE-LY VALLES
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 1301 MCKINNEY ST
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City | HOUSTON
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State | TX
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Zip | 77010-3031
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Country | US
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Telephone | 832-271-4707
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Fax |
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Provider Business Mailing Address
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Address Line | 13811 SUTTON GLEN LN
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City | HOUSTON
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State | TX
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Zip | 77047-7543
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Country | US
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Telephone | 319-270-5705
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. NIZETE-LY VALLES
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Credential |
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Telephone | 832-271-4707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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