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General NPI Number Information
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NPI Number | 1447692371
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Entity Type | Individual
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Provider Name | KRISTIE L VALENTINO MSED
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Gender | Female
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 07/19/2013
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Provider Practice Location Address
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Address Line | 31 BRIARWOOD LANE APT 12
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City | MARLBOROUGH
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State | MA
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Zip | 01752
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Country | US
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Telephone | 845-800-7609
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Fax |
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Provider Business Mailing Address
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Address Line | 31 BRIARWOOD LANE APT 12
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City | MARLBOROUGH
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State | MA
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Zip | 01752
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Country | US
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Telephone | 774-823-1500
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1176918
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License Number State | NY
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