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General NPI Number Information
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NPI Number | 1407871205
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Entity Type | Individual
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Provider Name | VALARIE J MICELI OTR
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Gender | Female
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1229 S 2ND ST
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City | CLEARFIELD
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State | PA
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Zip | 16830-3305
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Country | US
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Telephone | 814-765-0221
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Fax | 814-765-3011
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Provider Business Mailing Address
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Address Line | 15158 ROCKTON MT HWY
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City | CLEARFIELD
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State | PA
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Zip | 16830
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Country | US
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Telephone | 814-765-9602
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | OC007332L
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License Number State | PA
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