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General NPI Number Information
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NPI Number | 1184337925
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Entity Type | Individual
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Provider Name | GLADYS T VALLE APRN
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Gender | Female
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Dates
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Enumeration Date | 12/26/2022
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 9677 SEMINOLE BLVD
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City | SEMINOLE
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State | FL
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Zip | 33772-2526
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Country | US
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Telephone | 727-490-9096
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Fax | 727-490-9299
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Provider Business Mailing Address
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Address Line | 9677 SEMINOLE BLVD
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City | SEMINOLE
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State | FL
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Zip | 33772-2526
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Country | US
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Telephone | 727-490-9096
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Fax | 727-490-9299
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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 | APRN11023516
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License Number State | FL
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