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General NPI Number Information
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NPI Number | 1548289739
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Entity Type | Individual
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Provider Name | SANDRA K VALLERY PH.D
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 8 KIELTY DR
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City | NEWMARKET
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State | NH
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Zip | 03857-2199
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Country | US
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Telephone | 603-772-4644
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Fax | 603-772-4610
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Provider Business Mailing Address
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Address Line | PO BOX 223
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City | NEWFIELDS
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State | NH
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Zip | 03856-0223
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Country | US
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Telephone | 603-772-4644
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Fax | 603-772-4610
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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 | 740
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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