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General NPI Number Information
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NPI Number | 1396347613
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Entity Type | Individual
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Provider Name | VALERIE ANN LOPEZ
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Gender | Female
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 11/11/2020
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Provider Practice Location Address
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Address Line | 1900 ABBEY RD
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-3543
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Country | US
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Telephone | 434-244-4302
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Fax |
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Provider Business Mailing Address
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Address Line | 3 LOVING TER
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City | PALMYRA
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State | VA
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Zip | 22963-2514
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Country | US
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Telephone | 434-962-6688
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202011293
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License Number State | VA
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