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General NPI Number Information
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NPI Number | 1306033808
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Entity Type | Organization
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Legal Business Name | VALNAY, LLC
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 07/07/2009
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Provider Practice Location Address
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Address Line | 905 HALSTEAD BLVD UNIT 8
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-6815
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Country | US
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Telephone | 252-338-5437
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2652
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City | ELIZABETH CITY
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State | NC
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Zip | 27906-2652
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Country | US
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Telephone | 252-338-5437
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. VALERIE C COSTEN
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Credential | BS
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Telephone | 252-465-4288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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