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General NPI Number Information
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NPI Number | 1528267127
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Entity Type | Individual
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Provider Name | ANGELINA L VALENTE
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Gender | Female
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 3903 INDIANAPOLIS BLVD
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City | EAST CHICAGO
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State | IN
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Zip | 46312-2555
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Country | US
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Telephone | 219-398-7050
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Fax |
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Provider Business Mailing Address
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Address Line | 215 W INDIANA AVE
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City | CHESTERTON
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State | IN
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Zip | 46304-2457
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Country | US
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Telephone | 219-921-0705
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20042343A
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License Number State | IN
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