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General NPI Number Information
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NPI Number | 1336075670
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Entity Type | Individual
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Provider Name | AMANDA LACY VALEU FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 3800 E 10TH ST STE 102
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City | GREENVILLE
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State | NC
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Zip | 27858-7650
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Country | US
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Telephone | 252-317-2092
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Fax |
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Provider Business Mailing Address
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Address Line | 225 TOBIANO DR
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City | NEW BERN
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State | NC
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Zip | 28562-6800
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Country | US
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Telephone | 518-378-5904
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Fax | 518-378-5904
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F06261467
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License Number State | NC
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