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General NPI Number Information
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NPI Number | 1194430579
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Entity Type | Individual
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Provider Name | VALLERY S ADA FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/19/2023
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 6464 SAVOY DR STE 520
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City | HOUSTON
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State | TX
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Zip | 77036-3395
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Country | US
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Telephone | 713-784-2885
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Fax | 713-784-2848
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Provider Business Mailing Address
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Address Line | 6464 SAVOY DR STE 520
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City | HOUSTON
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State | TX
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Zip | 77036-3395
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Country | US
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Telephone | 713-784-2885
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Fax | 713-784-2848
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1107103
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 745551
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1107103
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License Number State | TX
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