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General NPI Number Information
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NPI Number | 1184188351
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Entity Type | Individual
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Provider Name | NICOLE LEE VALIO SNOW DC
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Gender | Female
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 3305 MAIN ST STE 203
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City | VANCOUVER
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State | WA
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Zip | 98663-2250
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Country | US
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Telephone | 360-450-1331
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Fax | 833-901-2951
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Provider Business Mailing Address
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Address Line | 2411 NW 116TH ST
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City | VANCOUVER
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State | WA
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Zip | 98685-4409
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Country | US
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Telephone | 360-450-1331
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Fax | 833-901-2951
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5969
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 60916864
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License Number State | WA
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