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General NPI Number Information
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NPI Number | 1528832185
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Entity Type | Individual
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Provider Name | VANESSA VALENTINO
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Gender | Female
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 275 COLLIER RD NW STE 300
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City | ATLANTA
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State | GA
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Zip | 30309-1740
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Country | US
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Telephone | 404-350-0009
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Fax |
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Provider Business Mailing Address
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Address Line | 10 TOMAHAWK DR
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City | SHARPSBURG
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State | GA
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Zip | 30277-1780
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN264499
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-NP264499
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License Number State | GA
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