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General NPI Number Information
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NPI Number | 1477743797
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Entity Type | Organization
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Legal Business Name | CHERYL VALLIE CFNP LP
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 4801 N MIDLAND DR SUITE B
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City | MIDLAND
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State | TX
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Zip | 79707-3421
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Country | US
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Telephone | 432-699-6271
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 80670
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City | MIDLAND
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State | TX
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Zip | 79708-0670
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Country | US
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Telephone | 432-682-2154
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHERYL VALLIE
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Credential | NP
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Telephone | 432-699-6271
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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 |
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License Number State |
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