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General NPI Number Information
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NPI Number | 1174993521
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Entity Type | Individual
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Provider Name | VALERIE HALLOWELL FNP
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Gender | Female
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 27386 CARRONADE DR
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City | PERRYSBURG
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State | OH
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Zip | 43551-3368
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Country | US
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Telephone | 567-336-4662
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Fax |
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Provider Business Mailing Address
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Address Line | 1118 SANDPIPER LN
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City | BOWLING GREEN
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State | OH
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Zip | 43402-9180
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Country | US
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Telephone | 317-408-5969
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71005738A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.025881
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License Number State | OH
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