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General NPI Number Information
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NPI Number | 1407498256
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Entity Type | Individual
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Provider Name | SILVIA VALENCIA HAZEL CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2019
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 10005 OLD COLUMBIA RD STE P170
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City | COLUMBIA
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State | MD
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Zip | 21046-1727
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Country | US
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Telephone | 410-312-5280
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Fax |
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Provider Business Mailing Address
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Address Line | 17748 CHIPPING CT
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City | OLNEY
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State | MD
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Zip | 20832-1625
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Country | US
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Telephone | 301-502-2136
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R210282
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License Number State | MD
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