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General NPI Number Information
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NPI Number | 1336898063
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Entity Type | Individual
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Provider Name | VALERIE LOUISE GRAY NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/21/2022
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 848 ADAMS AVE
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City | MEMPHIS
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State | TN
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Zip | 38103-2816
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Country | US
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Telephone | 901-287-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 653 JEFFERSON AVE # E206
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City | MEMPHIS
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State | TN
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Zip | 38105-4911
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Country | US
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Telephone | 901-448-6728
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Fax |
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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 | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 1073139
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1073139
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 37331
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 37331
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License Number State | TN
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