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General NPI Number Information
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NPI Number | 1407872518
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Entity Type | Organization
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Legal Business Name | UPPER VALLEY PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 3130 N COUNTY ROAD 25A
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City | TROY
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State | OH
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Zip | 45373-1337
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Country | US
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Telephone | 937-440-7497
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Fax | 937-440-7337
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Provider Business Mailing Address
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Address Line | PO BOX 479
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City | TROY
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State | OH
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Zip | 45373-0479
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Country | US
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Telephone | 937-440-7497
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Fax | 937-440-7337
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Authorized Official
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Title or Position | SYSTEMS SUPPORT ANALYST
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Name | DARLENE F MICHEL
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Credential |
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Telephone | 937-499-6758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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