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General NPI Number Information
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NPI Number | 1366035149
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Entity Type | Organization
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Legal Business Name | VALERIE GILL INC
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Dates
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Enumeration Date | 02/12/2021
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 1545 ASSOCIATES DR STE 105
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City | DUBUQUE
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State | IA
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Zip | 52002-2299
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Country | US
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Telephone | 563-564-4114
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Fax | 563-726-7336
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Provider Business Mailing Address
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Address Line | 1545 ASSOCIATES DR STE 105
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City | DUBUQUE
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State | IA
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Zip | 52002-2299
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Country | US
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Telephone | 563-564-4114
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Fax | 563-726-7336
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Authorized Official
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Title or Position | OUTPATIENT THERAPIST
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Name | VALERIE ANN GILL
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Credential | LISW
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Telephone | 608-331-7844
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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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