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General NPI Number Information
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NPI Number | 1427426006
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Entity Type | Individual
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Provider Name | THERESA MAE VALLONE APN
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Gender | Female
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Dates
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Enumeration Date | 09/13/2015
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 2224 OAK ST
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-1312
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Country | US
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Telephone | 201-575-2658
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Fax | 703-373-0728
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Provider Business Mailing Address
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Address Line | 2224 OAK ST
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-1312
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Country | US
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Telephone | 201-575-2658
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Fax | 703-373-0728
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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 | 04152025
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11398723
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00580500
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024192811
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License Number State | VA
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