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General NPI Number Information
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NPI Number | 1457031577
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Entity Type | Organization
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Legal Business Name | VALENTINE INTEGRATIVE HEALTH, LLC
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 1718 BELMONT AVE STE D
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City | WINDSOR MILL
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State | MD
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Zip | 21244-2552
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Country | US
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Telephone | 443-501-9201
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Fax | 410-834-5162
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Provider Business Mailing Address
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Address Line | 1718 BELMONT AVE STE D
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City | WINDSOR MILL
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State | MD
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Zip | 21244-2552
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Country | US
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Telephone | 443-501-9201
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Fax | 410-834-5162
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER/ OWNER
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Name | NIA VALENTINE
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Credential | CRNP-F
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Telephone | 443-501-9201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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